Provider Demographics
NPI:1164813366
Name:ADEDEJI, ADEJOKE (APRN PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ADEJOKE
Middle Name:
Last Name:ADEDEJI
Suffix:
Gender:F
Credentials:APRN PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7760 FRANCE AVE S STE 1109
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5800
Mailing Address - Country:US
Mailing Address - Phone:952-955-7080
Mailing Address - Fax:952-955-7482
Practice Address - Street 1:7760 FRANCE AVE S STE 1109
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5800
Practice Address - Country:US
Practice Address - Phone:952-955-7080
Practice Address - Fax:952-955-7482
Is Sole Proprietor?:No
Enumeration Date:2015-02-10
Last Update Date:2020-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3626363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health