Provider Demographics
NPI:1659172559
Name:OIGBOKIE, JOSEPHINE EMANEHI
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:EMANEHI
Last Name:OIGBOKIE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3516 YALE DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-8774
Mailing Address - Country:US
Mailing Address - Phone:214-793-5817
Mailing Address - Fax:
Practice Address - Street 1:2601 SCRIPTURE ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4321
Practice Address - Country:US
Practice Address - Phone:940-484-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2024100360363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily