Individual provider · Type 1 NPI
Opeyemi Boyede Ajibola
Family Nurse Practitioner · Magnolia, TX
NPI number
1083466403
Active
Practice location
33300 Egypt Ln Ste C500
Magnolia, TX 77354-2873
Mailing address
33300 Egypt Ln
Magnolia, TX 77354-2739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | 1156415 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1083466403
Opeyemi Boyede Ajibola's National Provider Identifier is 1083466403, issued on Apr 2, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Magnolia, TX. The record was last updated on May 6, 2024.