Individual provider · Type 1 NPI

Modupe Adesola

Nurse Practitioner · Fort Sill, OK

NPI number 1184076770 Active

Practice location

4301 Wilson St
Fort Sill, OK 73503-4472

Call (580) 558-8242 Map

Mailing address

1123 Abbeywood Rd
Louisville, KY 40222-4401

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X3010425 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1184076770

Modupe Adesola's National Provider Identifier is 1184076770, issued on Jul 7, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Sill, OK. The record was last updated on Oct 3, 2019.