Modupeore Ajibade Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Union, NJ

NPI

1689425340

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

26NJ15019300 (NJ)

Sex

Female

Sole proprietor

Yes

Enumerated

2024-04-01

Last updated

2024-05-07