ADEOLA AMINAT ADEBAYO


Address: 2716 Water Oak Dr, Grand Prairie, TX 75052-4448
Phone: 4697402811

ADEOLA AMINAT ADEBAYO (NPI# 1861048597) 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) 1861048597
Entity Type Individual
Full Name ADEOLA AMINAT ADEBAYO
Credential PMHNP
Practice Address 2716 Water Oak Dr
Grand Prairie
TX 75052-4448
Practice Telephone 4697402811
Mailing Telephone 4697402811
Enumeration Date 2019-08-19
Last Update Date 2019-08-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0810X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Child & Family
AP142733 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers ADEOLA ADEBAYO

NPI Name Taxonomy Address Enumeration
1609416296 Adeola Serifat Adebayo Nurse Practitioner 2407 Suncreek Ln, Pearland, TX 77584-3194 2020-01-10

Office Location

Street Address 2716 WATER OAK DR
City GRAND PRAIRIE
State TX
Zip Code 75052-4448

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Taxonomy Information

Taxonomy Code 364SP0810X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Child & Family

Taxonomy Definition

Definition to come...

Competitor

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City GRAND PRAIRIE
Zip Code 75052

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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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