ADEOLA AMINAT ADEBAYO PMHNP
NPI 1861048597
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Family in Grand Prairie, TX
Active since August 19, 2019
About Adeola Aminat Adebayo Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADEOLA AMINAT ADEBAYO PMHNP (NPI 1861048597) is an individual psychiatric/mental health, child & family provider in Grand Prairie, Texas, licensed in Texas (AP142733) and active in the NPI registry since August 2019.
NPPES Registry Identity
NPI1861048597
Entity TypeIndividualFemale
Primary Taxonomy364SP0810X
Provider Legal NameADEOLA AMINAT ADEBAYOCredential: PMHNP
Location Address2716 WATER OAK DRGrand Prairie, TX 75052-4448
Mailing Address2716 Water Oak DrGrand Prairie, TX 75052-4448 · (469) 740-2811
Phone(469) 740-2811
Sole ProprietorNo
Enumeration DateAugust 19, 2019
✔ NPI 1861048597 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, Child & FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0810X
License✔ Licensed in TX · AP142733
2716 WATER OAK DR, Grand Prairie, TX 75052
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861048597, enumerated as an "individual" on August 19, 2019.
The provider is located at 2716 WATER OAK DR GRAND PRAIRIE, TX 75052 and the phone number is (469) 740-2811.
Clinical Nurse Specialist with taxonomy code 364SP0810X and a focus in Psychiatric/Mental Health, Child & Family.
