Provider Demographics
NPI:1043700719
Name:OGBEIDE, OSARENOMA BLESSING (APRN,PMHNP-BC)
Entity type:Individual
Prefix:
First Name:OSARENOMA
Middle Name:BLESSING
Last Name:OGBEIDE
Suffix:
Gender:F
Credentials:APRN,PMHNP-BC
Other - Prefix:
Other - First Name:OSARENOMA
Other - Middle Name:BLESSING
Other - Last Name:OGBEIDE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN,PMHNP-BC
Mailing Address - Street 1:24974 JESSAMINE MEADOW TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2870
Mailing Address - Country:US
Mailing Address - Phone:832-398-8867
Mailing Address - Fax:
Practice Address - Street 1:24974
Practice Address - Street 2:JESSAMINE MEADOW TRL
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406
Practice Address - Country:US
Practice Address - Phone:832-398-8867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1165349363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health