MEDICARE: ADESOLA TEMITOPE OYEDOKUN

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	363LP2300X	Primary Care Nurse Practitioner	209184	OK

General Provider Information

NPI Number	:	1821960840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADESOLA TEMITOPE OYEDOKUN

Provider Business Mailing Address
First Line	:	7304 NW 150TH TER
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73142-9705
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7304 NW 150TH TER
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73142-9705
Country	:	US
Telephone Number	:	405-863-2939
Fax Number	:

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

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	09/19/2025

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Directions to “ ADESOLA TEMITOPE OYEDOKUN ” Practice Location

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