NPI 1477989408 · live from the CMS NPI Registry
Olajumoke Ademola Adetunji, NP
Nurse Practitioner, Psych/Mental Health in Leesburg, VA. National Provider Identifier 1477989408, active.
NPI record
| NPI | 1477989408 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 43263 Canal Creek Pl, Leesburg, VA 20176 |
| Practice phone | 703-999-7074 |
| Mailing address | 42009 Victory Ln, Leesburg, VA 20176 |
| Enumerated | September 23, 2013 |
| Last updated | June 2, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 0024171071 (VA) |
| Nurse Practitioner, Family | 363LF0000X | 0024171071 (VA) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | 0024171071 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.