Provider Demographics
NPI:1295185528
Name:OGEYA, PAMELA JUMAH (FNP)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:JUMAH
Last Name:OGEYA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 DUTCH MILL RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-4439
Mailing Address - Country:US
Mailing Address - Phone:443-629-2664
Mailing Address - Fax:410-701-8905
Practice Address - Street 1:4121 DUTCH MILL RD
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-4439
Practice Address - Country:US
Practice Address - Phone:443-629-2664
Practice Address - Fax:410-701-8905
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR176956363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily