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NPI Code Detail

MEDICARE: OLUJIMI IKUOPENIKAN NP

MEDICARE:   OLUJIMI  IKUOPENIKAN  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerAP142626TX
2363L00000XNurse PractitionerAP142626TX
3363LF0000XFamily Nurse PractitionerAP142626TX
4163WN0300XNephrology Registered NurseAP142626TX
5363LA2100XAcute Care Nurse PractitionerAP142626TX
6163WH0500XHemodialysis Registered NurseAP142626TX
7163WD1100XPeritoneal Dialysis Registered NurseAP142626TX

General Provider Information

NPI Number : 1598307522
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLUJIMI IKUOPENIKAN NP
Provider Business Mailing Address
First Line : 7751 BELFORT PKWY STE 120
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6921
Country : US
Telephone Number : 904-372-3943
Fax Number : 904-212-1618
Provider Business Practice Location Address
First Line : 921 GESSNER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2501
Country : US
Telephone Number : 904-372-3943
Fax Number : 904-212-1618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2019
Last Update Date : 04/13/2026

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Directions to “ OLUJIMI IKUOPENIKAN NP” Practice Location

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