Individual provider · Type 1 NPI

Modupe G. Okhipo, NP

Family Nurse Practitioner · Providence, RI

NPI number 1104607068 Active

Practice location

239 Cranston St
Providence, RI 02907-2406

Fax (401) 444-0428

Mailing address

375 Allens Ave
Providence, RI 02905-5010

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XRN2310139 (MA)
Family Nurse Practitioner Primary 363LF0000XAPRN05430 (RI)

Family Nurse Practitioner: Definition to come...

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About NPI 1104607068

Modupe G. Okhipo, NP's National Provider Identifier is 1104607068, issued on Oct 6, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Providence, RI. The record was last updated on Sep 10, 2026.