Healthcare Provider Details

I. General information

NPI: 1427962315
Provider Name (Legal Business Name): ADEDAMOLA JAYEOLA RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING,120 N MEDICAL DRIVE
CHAPEL HILL NC
27599-0001
US

IV. Provider business mailing address

UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING,120 N MEDICAL DRIVE
CHAPEL HILL NC
27599-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-4260
  • Fax:
Mailing address:
  • Phone: 919-966-4260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number353658
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: