MEDICARE: MR. TOLULOPE ADEDAYO OLOJEDE FNP

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	F358234-01	NY
2	363LF0000X	Family Nurse Practitioner	TPAN4004	FL
3	363LF0000X	Family Nurse Practitioner	83596	NM
4	363LF0000X	Family Nurse Practitioner	226362	OK
5	363LF0000X	Family Nurse Practitioner	AP70066105	WA
6	363LF0000X	Family Nurse Practitioner	C-APN.0104973	CO
7	363LF0000X	Family Nurse Practitioner	0024193517	VA
8	363LF0000X	Family Nurse Practitioner	39348	TN
9	363LF0000X	Family Nurse Practitioner	101.0138359TELE	VT
10	363LF0000X	Family Nurse Practitioner	15709	CT

General Provider Information

NPI Number	:	1710771423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TOLULOPE ADEDAYO OLOJEDE FNP

Provider Business Mailing Address
First Line	:	2301 N DR MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	CLOVIS
State	:	NM
Zip	:	88101-9401
Country	:	US
Telephone Number	:	469-237-4933
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 N DR MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	CLOVIS
State	:	NM
Zip	:	88101-9401
Country	:	US
Telephone Number	:	469-237-4933
Fax Number	:

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

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	03/24/2026

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Directions to “ MR. TOLULOPE ADEDAYO OLOJEDE FNP” Practice Location

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