Provider Demographics
NPI:1023483484
Name:DOSUNMU, SELIAT AJOKE (DNP, PMHNP-BC, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SELIAT
Middle Name:AJOKE
Last Name:DOSUNMU
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC, FNP-C
Other - Prefix:MRS
Other - First Name:SELIAT
Other - Middle Name:AJOKE
Other - Last Name:DOSUNMU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, PMHNP-BC, FNP-C
Mailing Address - Street 1:4380B MONTGOMERY RD # 1201
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-6006
Mailing Address - Country:US
Mailing Address - Phone:443-295-6600
Mailing Address - Fax:951-281-2991
Practice Address - Street 1:7501 GREENWAY CENTER DR
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3514
Practice Address - Country:US
Practice Address - Phone:443-295-6600
Practice Address - Fax:951-281-2991
Is Sole Proprietor?:No
Enumeration Date:2015-12-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR181523363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily