Provider Demographics
NPI:1205658986
Name:ABOLARINDE, YEMISI TOLU (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:YEMISI
Middle Name:TOLU
Last Name:ABOLARINDE
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18615 GREENWOOD MEADOW TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4605
Mailing Address - Country:US
Mailing Address - Phone:832-462-0250
Mailing Address - Fax:
Practice Address - Street 1:18615 GREENWOOD MEADOW TRL
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-4605
Practice Address - Country:US
Practice Address - Phone:832-462-0250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1010608363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty