Individual provider · Type 1 NPI

Oluwatosin B. Ajibola

Family Nurse Practitioner · Grand Prairie, TX

NPI number 1063230464 Active

Practice location

4927 Lake Ridge Pkwy Ste 148
Grand Prairie, TX 75052-3000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1177043 (TX)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1063230464

Oluwatosin B. Ajibola's National Provider Identifier is 1063230464, issued on Oct 3, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Prairie, TX. The record was last updated on Sep 4, 2025.