Individual provider · Type 1 NPI
Shiyanbola Ajao
Psychiatric/Mental Health Nurse Practitioner · Union, NJ
NPI number
1790363653
Active
Practice location
540 North Ave # 2036
Union, NJ 07083-7148
Mailing address
1800 Phoenix Blvd Ste 128-12
Atlanta, GA 30349-5593
Other practice locations
- 1800 Phoenix Blvd Ste 128-12, Atlanta, GA 30349-5593 · (678) 525-7787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10009869 (OR) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61395314 (WA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN263471 (GA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ14933300 (NJ) |
| Registered Nurse | 163W00000X | RN263471 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Union
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- Patrice Fields, PMHNPPsychiatric/Mental Health Nurse Practitioner Union, NJ NPI 1013830827
- Lateef Ajanaku-Makun, APNPsychiatric/Mental Health Nurse Practitioner Union, NJ NPI 1033664685
- Ursula C. NjiribeakoPsychiatric/Mental Health Nurse Practitioner Union, NJ NPI 1053253575
- Obiageri Ihuoma Anyanwu, APNPsychiatric/Mental Health Nurse Practitioner Union, NJ NPI 1073165767
- Stephanie Altema, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Union, NJ NPI 1073327953
- Joanne EkpeniPsychiatric/Mental Health Nurse Practitioner Union, NJ NPI 1073402046
- Miriam AnukamPsychiatric/Mental Health Nurse Practitioner Union, NJ NPI 1114876091
About NPI 1790363653
Shiyanbola Ajao's National Provider Identifier is 1790363653, issued on Mar 31, 2021. 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 Nov 28, 2023.