Provider Demographics
NPI:1568664878
Name:AJAYI-BARNES, FLORENCE BOLANLE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:FLORENCE
Middle Name:BOLANLE
Last Name:AJAYI-BARNES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:894 EASTERN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-3618
Mailing Address - Country:US
Mailing Address - Phone:718-774-6060
Mailing Address - Fax:718-774-4426
Practice Address - Street 1:1006 FULTON ST
Practice Address - Street 2:APT. #6
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-2519
Practice Address - Country:US
Practice Address - Phone:718-789-1882
Practice Address - Fax:718-789-9275
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3346991363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily