BOSEDE OMOLARA BABALOLA-ADEJOKUN


Address: 160 Magnolia Walk Ln, Atlanta, GA 30349-4067
Phone: 4049095170

BOSEDE OMOLARA BABALOLA-ADEJOKUN (NPI# 1659989549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659989549
Entity Type Individual
Full Name BOSEDE OMOLARA BABALOLA-ADEJOKUN
Credential NP
Practice Address 160 Magnolia Walk Ln
Atlanta
GA 30349-4067
Practice Telephone 4049095170
Mailing Telephone 4049095170
Enumeration Date 2020-07-16
Last Update Date 2020-07-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN219165 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 160 MAGNOLIA WALK LN
City ATLANTA
State GA
Zip Code 30349-4067

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1669971875 Ee Consulting Solution Case Management 6320 Topaz Tral, Arlanta, GA 30349 2018-02-03
1629595640 Shayla Bouie Contractor 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 2017-08-30
1114475563 Jasmine V Mccully Social Worker 5864 Summergien Lane, College Park, GA 30349 2016-09-14
1639537681 Shelia Thornton Counselor 5856 Seabright Lane, Atlanta, GA 30349 2016-02-05
1346610177 Joanne Resilard Nurse Practitioner 2931 Herron Ln Sw, Atlanta, GA 30349 2015-10-06
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1831736826 Carol Lorraine Borchers Nurse Practitioner 3648 Peachtree Rd Ne Apt 1j, Atlanta, GA 30319-1271 2019-12-09
1033606165 Jane Wanjiru Waweru Nurse Practitioner 635 Windy Ridge Ln Se, Atlanta, GA 30339-2438 2018-04-14
1780198820 Joanne Patrice Parks Nurse Practitioner 3110 Henderson Walk, Atlanta, GA 30340-4329 2017-11-28
1013467570 Jill Morich Webb Nurse Practitioner 2150 Peachford Rd Ste Q, Atlanta, GA 30338-6539 2016-10-09
1518413897 Terre Cheely Nurse Practitioner 2 Ravinia Drive Suite 500, Atlanta, GA 30346 2016-08-28
1407211964 Donna D. Wilson Nurse Practitioner 35 Collier Rd Nw Ste 425, Atlanta, GA 30309-1613 2015-12-28
1265785596 Shikira Mone' Woods Nurse Practitioner 101 Marietta St Nw Ste 350, Atlanta, GA 30303-2724 2012-10-24
1104846385 Elizabeth L Robinson Nurse Practitioner 289 Little St Se, Atlanta, GA 30315-1364 2006-07-20
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Competitor

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City ATLANTA
Zip Code 30349

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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