Provider Demographics
NPI:1134423734
Name:AFOLABI, JANET OLATUDE (NP)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:OLATUDE
Last Name:AFOLABI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 CITATION DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-6373
Mailing Address - Country:US
Mailing Address - Phone:713-259-2250
Mailing Address - Fax:281-969-5751
Practice Address - Street 1:903 CITATION DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-6373
Practice Address - Country:US
Practice Address - Phone:713-259-2250
Practice Address - Fax:281-969-5751
Is Sole Proprietor?:No
Enumeration Date:2010-12-22
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX706492163W00000X, 363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health