Healthcare Provider Details

I. General information

NPI: 1023307998
Provider Name (Legal Business Name): TOKUNBO CHRISTIANAH OGUNLEYE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TOKUNBO CHRISTIANAH OGUNLEYE

II. Dates (important events)

Enumeration Date: 03/31/2011
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 MURPHY AVE SUITE 220
NASHVILLE TN
37203-1835
US

IV. Provider business mailing address

2201 MURPHY AVE SUITE 220
NASHVILLE TN
37203-1835
US

V. Phone/Fax

Practice location:
  • Phone: 615-329-0494
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number15769
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: