Provider Demographics
NPI:1184218745
Name:ADEJUMOBI, ABIODUN (FNP,MSN,APRN)
Entity Type:Individual
Prefix:MRS
First Name:ABIODUN
Middle Name:
Last Name:ADEJUMOBI
Suffix:
Gender:F
Credentials:FNP,MSN,APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13510 CRICKLEWOOD CREEK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6074
Mailing Address - Country:US
Mailing Address - Phone:832-526-6167
Mailing Address - Fax:
Practice Address - Street 1:10900 GULF FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-2580
Practice Address - Country:US
Practice Address - Phone:281-989-4586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000022363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily