Provider Demographics
NPI:1922718394
Name:OSINLOYE, OLUBUNMI (DNP)
Entity Type:Individual
Prefix:DR
First Name:OLUBUNMI
Middle Name:
Last Name:OSINLOYE
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 1:6747 DEVENSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38141-7371
Mailing Address - Country:US
Mailing Address - Phone:901-438-6633
Mailing Address - Fax:
Practice Address - Street 1:6747 DEVENSHIRE LN
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38141-7371
Practice Address - Country:US
Practice Address - Phone:901-438-6633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32959363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner