Provider Demographics
NPI:1508566423
Name:ADEYEMI, ADIJAT (PMHNP)
Entity type:Individual
Prefix:
First Name:ADIJAT
Middle Name:
Last Name:ADEYEMI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8139 ALLENDALE DR
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4208
Mailing Address - Country:US
Mailing Address - Phone:240-413-2528
Mailing Address - Fax:
Practice Address - Street 1:508 KENNEDY ST NW UNIT 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-3137
Practice Address - Country:US
Practice Address - Phone:202-223-9630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-08
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR237091363LP0808X
DCNP1052083363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health