Individual provider · Type 1 NPI

Modupe Adekunle

Psychiatric/Mental Health Nurse Practitioner · Burtonsville, MD

NPI number 1356926455 Active

Practice location

4000 Blackburn Ln Ste 150
Burtonsville, MD 20866-6127

Fax (410) 696-3696

Mailing address

4000 Blackburn Ln
Burtonsville, MD 20866-1104

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X0024181084 (VA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNP1037670 (DC)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR213801 (MD)

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

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About NPI 1356926455

Modupe Adekunle's National Provider Identifier is 1356926455, issued on Mar 10, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Burtonsville, MD. The record was last updated on Feb 3, 2026.