Healthcare Provider Details

I. General information

NPI: 1538606397
Provider Name (Legal Business Name): OLUFUNKE OLUBAYO-ALANA FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: OLUFUNKE OKUYIGA FNP-BC

II. Dates (important events)

Enumeration Date: 01/31/2017
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SEASCAPE WAY APT 208
JACKSONVILLE FL
32224-0634
US

IV. Provider business mailing address

4800 SEASCAPE WAY APT 208
JACKSONVILLE FL
32224-0634
US

V. Phone/Fax

Practice location:
  • Phone: 813-842-5221
  • Fax:
Mailing address:
  • Phone: 813-842-5221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP132957
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11005418
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: