Provider Demographics
NPI:1356917876
Name:ADEYEMO, ADENIKE OYINADE (APRN FNP)
Entity type:Individual
Prefix:
First Name:ADENIKE
Middle Name:OYINADE
Last Name:ADEYEMO
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4103 WAVERLY KEY CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3786
Mailing Address - Country:US
Mailing Address - Phone:832-517-4457
Mailing Address - Fax:
Practice Address - Street 1:4103 WAVERLY KEY CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3786
Practice Address - Country:US
Practice Address - Phone:832-517-4457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
TX1069136363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No171M00000XOther Service ProvidersCase Manager/Care Coordinator