Provider Demographics
NPI:1750924510
Name:AKINKUNMI, OLAMIPOSI FIYINFOLUWA
Entity type:Individual
Prefix:MS
First Name:OLAMIPOSI
Middle Name:FIYINFOLUWA
Last Name:AKINKUNMI
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:OLAMIPOSI
Other - Middle Name:FIYINFOLUWA
Other - Last Name:OWOLABI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4300 PACES FERRY RD SE STE 170
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-5705
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4300 PACES FERRY RD SE STE 170
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-5705
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN259417363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily