NPI Code Detail JSON Logo

1548685217 NPI number — OLUWADAMILOLA A IGUNBOR RN, BSN, MSN, AGPCNP

NPI Number: 1548685217
Health Care Provider/Practitioner: OLUWADAMILOLA A IGUNBOR RN, BSN, MSN, AGPCNP

Information about “1548685217” NPI (OLUWADAMILOLA A IGUNBOR RN, BSN, MSN, AGPCNP) exists in 1548685217 in HTML format HTML  |  1548685217 in plain Text format TXT  |  1548685217 in PDF (Portable Document Format) PDF  |  1548685217 in an XML format XML  formats.

NPI Number : 1548685217 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548685217",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "IGUNBOR",
    "FirstName": "OLUWADAMILOLA",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN, BSN, MSN, AGPCNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ADEYEMO",
    "OtherFirstName": "OLUWADAMILOLA",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN, BSN, MSN, AGPCNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "303 PARKWAY DR NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30312-1212",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "912-659-0660",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "303 PARKWAY DR NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30312-1212",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "912-659-0660",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/04/2014",
    "LastUpdateDate": "12/08/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "RN201775",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.