Provider Demographics
NPI:1427353952
Name:OGUNWARE, JANAYA L (NP)
Entity type:Individual
Prefix:MRS
First Name:JANAYA
Middle Name:L
Last Name:OGUNWARE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JANAYA
Other - Middle Name:L
Other - Last Name:WILLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3811 GASKINS RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1436
Mailing Address - Country:US
Mailing Address - Phone:804-270-6100
Mailing Address - Fax:804-270-4746
Practice Address - Street 1:3811 GASKINS RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-1436
Practice Address - Country:US
Practice Address - Phone:804-270-6100
Practice Address - Fax:804-270-4746
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169107363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care