Healthcare Provider Details

I. General information

NPI: 1346109246
Provider Name (Legal Business Name): TEMITOPE JULIUS ADEYEMI APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 MURRAY CIR
STOUGHTON MA
02072-3596
US

IV. Provider business mailing address

84 MURRAY CIR
STOUGHTON MA
02072-3596
US

V. Phone/Fax

Practice location:
  • Phone: 774-315-8341
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2354147
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: