Provider Demographics
NPI:1134690464
Name:OJONGAKI, SOLANGE TABI (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:SOLANGE
Middle Name:TABI
Last Name:OJONGAKI
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10612 N COUNCIL RD APT 12
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-4363
Mailing Address - Country:US
Mailing Address - Phone:405-326-7991
Mailing Address - Fax:
Practice Address - Street 1:10612 N COUNCIL RD APT 12
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-4363
Practice Address - Country:US
Practice Address - Phone:405-326-7991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX884978163W00000X
TX1035437363LF0000X
NM63902363LF0000X
OK204053363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse