Individual provider · Type 1 NPI

Omowoleola Bakare

Psychiatric/Mental Health Nurse Practitioner · South Jordan, UT

NPI number 1003766619 Active

Practice location

1654 W Reunion Ave Ste 10B
South Jordan, UT 84095-4676

Mailing address

965 E 5290 S
Murray, UT 84117-6671

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2025099576 (UT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1003766619

Omowoleola Bakare's National Provider Identifier is 1003766619, issued on Feb 2, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in South Jordan, UT. The record was last updated on Feb 26, 2026.