Provider Demographics
NPI:1235746009
Name:AKINRINMADE, JUMMAI FOLASHADE (NP)
Entity Type:Individual
Prefix:
First Name:JUMMAI
Middle Name:FOLASHADE
Last Name:AKINRINMADE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5290 HIDDEN VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30028-7024
Mailing Address - Country:US
Mailing Address - Phone:401-215-4606
Mailing Address - Fax:
Practice Address - Street 1:5290 HIDDEN VALLEY LN
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30028-7024
Practice Address - Country:US
Practice Address - Phone:401-215-4606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN258211363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology