MEDICARE: OYETUNJI A OYEDEJI MSN, FPMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2022022177	MO

General Provider Information

NPI Number	:	1851022255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OYETUNJI A OYEDEJI MSN, FPMHNP

Provider Business Mailing Address
First Line	:	PO BOX 844715
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64184-4715
Country	:	US
Telephone Number	:	417-761-5214
Fax Number	:	417-761-5065

Provider Business Practice Location Address
First Line	:	1300 E BRADFORD PKWY BLDG A
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-4264
Country	:	US
Telephone Number	:	417-761-5000
Fax Number	:	417-761-5065

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

Provider Enumeration Date	:	06/17/2022
Last Update Date	:	06/03/2026

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