Provider Demographics
NPI:1336381318
Name:BANJOKO, OLUWAKEMI SENBEMEKUN (LPN)
Entity Type:Individual
Prefix:MISS
First Name:OLUWAKEMI
Middle Name:SENBEMEKUN
Last Name:BANJOKO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 ATLANTIC AVE APT 785
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1724
Mailing Address - Country:US
Mailing Address - Phone:386-334-3900
Mailing Address - Fax:
Practice Address - Street 1:1003 ATLANTIC AVE APT 785
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1724
Practice Address - Country:US
Practice Address - Phone:386-334-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN134052164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse