Individual provider · Type 1 NPI
Bola Ladeji-Kuku
Family Nurse Practitioner · East Orange, NJ
NPI number
1639015340
Active
Practice location
79 Stockton Pl
East Orange, NJ 07017-5208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | F359689 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 26NR12589900 (NJ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639015340
Bola Ladeji-Kuku's National Provider Identifier is 1639015340, issued on Apr 25, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East Orange, NJ. The record was last updated on May 18, 2026.