Provider Demographics
NPI:1124792213
Name:OMARI-YEBOAH, JOSEPHINE (DNP)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:
Last Name:OMARI-YEBOAH
Suffix:
Gender:
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9560 INVERARY CT
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-1912
Mailing Address - Country:US
Mailing Address - Phone:703-459-4571
Mailing Address - Fax:
Practice Address - Street 1:136 W ELIZABETH ST STE 102
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802-3855
Practice Address - Country:US
Practice Address - Phone:540-564-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024182149363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health