MEDICARE: MRS. DOREEN OLAYEMI ADEEKO NP

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
1	363LF0000X	Family Nurse Practitioner	AP141328	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1588281596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DOREEN OLAYEMI ADEEKO NP

Provider Business Mailing Address
First Line	:	1802 GOODNIGHT LN
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75002-1512
Country	:	US
Telephone Number	:	214-223-4746
Fax Number	:

Provider Business Practice Location Address
First Line	:	5702 LAVON DR
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75040-3126
Country	:	US
Telephone Number	:	972-495-5595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2020
Last Update Date	:	03/24/2025

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