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Jumoke Olivia Tolashe

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1507 Lititz Pike, Lancaster, PA 17601-6505

PECOS Enrollment

This provider is enrolled in PECOS as JUMOKE TOLASHE.

Based on the most recent information from CMS, provider Jumoke Olivia Tolashe is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1598815623
Provider Type
Individual
Full Name
Tolashe, Jumoke Olivia
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
1/11/2007
Last Updated
3/21/2024

Contact Information

Practice Location

1507 Lititz Pike, Lancaster, PA 17601-6505

(717) 367-0369

(610) 497-7711

Mailing Location

1507 Lititz Pike, Lancaster, PA 17601-6505

(717) 367-0369

(610) 497-7711

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP022079 Pennsylvania

Jumoke Olivia Tolashe

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ryan, Miriam Bloomfield

Derose, Alexandria

Brooks, Charles D

Stoner, Nathan

Myers, Jessica L

Sharma, Archana

Culp, Jesse Dennis

Wettig, Vicki S

Wenzel, Stacy Miller

Hite, Susan Coonahan