Provider Demographics
NPI:1831677582
Name:SOLANKE, IBIJOKE OLUBUNMI (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:IBIJOKE
Middle Name:OLUBUNMI
Last Name:SOLANKE
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3936 HEMINGWAY DR
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-5094
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2365 POWDER SPRINGS RD SW STE 1103
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-4574
Practice Address - Country:US
Practice Address - Phone:470-604-9800
Practice Address - Fax:470-604-9900
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN189463363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily