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General NPI Number Information
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NPI Number | 1790358976
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Entity Type | Individual
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Provider Name | OLUWABUNMI M BAMIDELE RN, APRN, FNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/23/2021
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 275 CUMBERLAND BND
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City | NASHVILLE
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State | TN
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Zip | 37228-1805
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Country | US
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Telephone | 615-782-6201
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Fax |
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Provider Business Mailing Address
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Address Line | 1615 SHENSTONE DR
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City | SMYRNA
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State | TN
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Zip | 37167-3598
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Country | US
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Telephone | 323-337-3122
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | RN0000195960
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F07202380
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2024028636
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN0000028533
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License Number State | TN
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