Provider Demographics
NPI:1467799361
Name:OJO, GLORIA ADETOKUNBO (DNP)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:ADETOKUNBO
Last Name:OJO
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 CRAIN HWY N STE 3A
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-7000
Mailing Address - Country:US
Mailing Address - Phone:410-595-5029
Mailing Address - Fax:800-611-7439
Practice Address - Street 1:1412 CRAIN HWY N STE 3A
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-7000
Practice Address - Country:US
Practice Address - Phone:410-595-5029
Practice Address - Fax:800-611-7439
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR145246363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily