Provider Demographics
NPI:1508645722
Name:FALADE, ADENIKE JANET (PMHNP)
Entity Type:Individual
Prefix:MS
First Name:ADENIKE
Middle Name:JANET
Last Name:FALADE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:MS
Other - First Name:ADENIKE
Other - Middle Name:JANET
Other - Last Name:FALADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP
Mailing Address - Street 1:13708 IVYWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-5466
Mailing Address - Country:US
Mailing Address - Phone:301-602-2574
Mailing Address - Fax:
Practice Address - Street 1:8484 GEORGIA AVE STE 900
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-5604
Practice Address - Country:US
Practice Address - Phone:301-706-1724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR230618363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health