Provider Demographics
NPI:1891559761
Name:AJAYI, OLUWASEYI (DNP FNP-BC)
Entity Type:Individual
Prefix:
First Name:OLUWASEYI
Middle Name:
Last Name:AJAYI
Suffix:
Gender:F
Credentials:DNP FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9134 SHERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHN
Mailing Address - State:IN
Mailing Address - Zip Code:46373-0619
Mailing Address - Country:US
Mailing Address - Phone:219-413-6641
Mailing Address - Fax:
Practice Address - Street 1:9134 SHERWOOD CT
Practice Address - Street 2:
Practice Address - City:SAINT JOHN
Practice Address - State:IN
Practice Address - Zip Code:46373-0619
Practice Address - Country:US
Practice Address - Phone:219-413-6641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.410514163WE0003X
IN28276137A163WE0003X
IL209.028983363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency