Provider Demographics
NPI:1801102140
Name:ODUME, JOSEPHINE N (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JOSEPHINE
Middle Name:N
Last Name:ODUME
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-2840
Mailing Address - Country:US
Mailing Address - Phone:646-285-8386
Mailing Address - Fax:
Practice Address - Street 1:176E MOSHOLU PKWY S
Practice Address - Street 2:OFFICE OF DR. PLUMMER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458
Practice Address - Country:US
Practice Address - Phone:718-367-6100
Practice Address - Fax:718-733-4020
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY571288163WS0200X
NYF338483-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WS0200XNursing Service ProvidersRegistered NurseSchool