Provider Demographics
NPI:1164163721
Name:OSINUBI, ADEJOKE O (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ADEJOKE
Middle Name:O
Last Name:OSINUBI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 E WEALD AVE
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-1664
Mailing Address - Country:US
Mailing Address - Phone:302-290-3538
Mailing Address - Fax:
Practice Address - Street 1:4515 GRIFFIN DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4254
Practice Address - Country:US
Practice Address - Phone:302-598-5582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0011923363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily