Healthcare Provider Details

I. General information

NPI: 1619371002
Provider Name (Legal Business Name): ABIMBOLA OYEDOLA APRN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 DILLMONT DR STE 102
COLUMBUS OH
43235-6458
US

IV. Provider business mailing address

3525 OLENTANGY RIVER RD STE 4330
COLUMBUS OH
43214-3937
US

V. Phone/Fax

Practice location:
  • Phone: 614-802-6080
  • Fax: 380-255-7300
Mailing address:
  • Phone: 614-802-6080
  • Fax: 844-749-3650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN407781
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0037001
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: