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NPI Code Detail

MEDICARE: TEMITOPE A ADELEKE CNP, PMHNP-C, FNP-C

MEDICARE: TEMITOPE A ADELEKE CNP, PMHNP-C, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0027363OH
2163W00000XRegistered NurseRN.416544OH
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.0027363OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104439553
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEMITOPE A ADELEKE CNP, PMHNP-C, FNP-C
Provider Business Mailing Address
First Line : 625 CLEVELAND AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44702-1805
Country : US
Telephone Number : 330-455-0374
Fax Number : 330-453-6716
Provider Business Practice Location Address
First Line : 601 CLEVELAND AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44702-1836
Country : US
Telephone Number : 330-453-8252
Fax Number : 330-452-4655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2020
Last Update Date : 01/07/2026

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Directions to “ TEMITOPE A ADELEKE CNP, PMHNP-C, FNP-C” Practice Location

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