Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clementina Olusoga, NP

Individual provider Nurse Practitioner · NPI 1417703117

Clementina Olusoga, NP is a Nurse Practitioner in Sparks, Maryland. Qualified in 2023, 3 years ago. Practices with Consonant Healing Medical Associates, a 105-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477
Phone: (301) 377-8431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 987724651 (MD)

Record details

NPI number1417703117
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedApril 24, 2024
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address909 Ridgebrook Rd Ste 300, Sparks, MD 21152-9477

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Consonant Healing Medical Associates — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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