Provider Demographics
NPI:1609135581
Name:ADEYINKA, TEMILOLA E (FNP)
Entity Type:Individual
Prefix:MS
First Name:TEMILOLA
Middle Name:E
Last Name:ADEYINKA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4375 CARPENTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-1321
Mailing Address - Country:US
Mailing Address - Phone:347-336-0427
Mailing Address - Fax:
Practice Address - Street 1:4375 CARPENTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-1321
Practice Address - Country:US
Practice Address - Phone:347-336-0427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF349534-01363LF0000X
NY22652802163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse