Healthcare Provider Details

I. General information

NPI: 1659807386
Provider Name (Legal Business Name): OLAJUMOKE AKINYELE DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2017
Last Update Date: 02/21/2026
Certification Date: 02/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11285 ELKINS RD STE J6
ROSWELL GA
30076-1264
US

IV. Provider business mailing address

11285 ELKINS RD STE J6
ROSWELL GA
30076-1264
US

V. Phone/Fax

Practice location:
  • Phone: 470-802-6838
  • Fax: 209-290-3019
Mailing address:
  • Phone: 470-802-6838
  • Fax: 209-290-3019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN224730
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11011343
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN224730
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR179631
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRNP252768
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61102874
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: