Provider Demographics
NPI:1790160026
Name:ADENIJI, AISHAT (FNP)
Entity Type:Individual
Prefix:
First Name:AISHAT
Middle Name:
Last Name:ADENIJI
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 1:140 S CUSTER RD., SUITE 100
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-6106
Mailing Address - Country:US
Mailing Address - Phone:469-495-9124
Mailing Address - Fax:
Practice Address - Street 1:140 S CUSTER RD., SUITE 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-6106
Practice Address - Country:US
Practice Address - Phone:469-495-9124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-28
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00558700363LF0000X
TX1049822363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily