Provider Demographics
NPI:1558011643
Name:OSUJI, DAVID NZUBE (PMHNP-BC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:NZUBE
Last Name:OSUJI
Suffix:
Gender:M
Credentials:PMHNP-BC
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Mailing Address - Street 1:PO BOX 261092
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-1092
Mailing Address - Country:US
Mailing Address - Phone:972-232-7474
Mailing Address - Fax:972-842-4206
Practice Address - Street 1:4501 JOE RAMSEY BLVD E STE 260
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-7835
Practice Address - Country:US
Practice Address - Phone:972-232-7474
Practice Address - Fax:972-232-7401
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2022-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX1073566363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health