Individual provider · Type 1 NPI
Modupeore Ajibade
Psychiatric/Mental Health Nurse Practitioner · Union, NJ
NPI number
1689425340
Active
Practice location
1945 Morris Ave Ste 7
Union, NJ 07083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ15019300 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1689425340
Modupeore Ajibade's National Provider Identifier is 1689425340, issued on Apr 1, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Union, NJ. The record was last updated on May 7, 2024.