Provider Demographics
NPI:1710771423
Name:OLOJEDE, TOLULOPE ADEDAYO (FNP)
Entity type:Individual
Prefix:MR
First Name:TOLULOPE
Middle Name:ADEDAYO
Last Name:OLOJEDE
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 N DR MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:NM
Mailing Address - Zip Code:88101-9401
Mailing Address - Country:US
Mailing Address - Phone:469-237-4933
Mailing Address - Fax:
Practice Address - Street 1:2301 N DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:NM
Practice Address - Zip Code:88101-9401
Practice Address - Country:US
Practice Address - Phone:469-237-4933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0104973363LF0000X
VT101.0138359TELE363LF0000X
NM83596363LF0000X
TN39348363LF0000X
VA0024193517363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty