NPI 1750033684 · live from the CMS NPI Registry
Olufunmilayo Temitope Ajala
Nurse Practitioner, Psych/Mental Health in Snellville, GA. National Provider Identifier 1750033684, active.
NPI record
| NPI | 1750033684 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 2121 Fountain Dr Ste D, Snellville, GA 30078 |
| Practice phone | 470-435-5341 |
| Enumerated | January 21, 2022 |
| Last updated | October 19, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Medical-Surgical | 163WM0705X | RN222212 (GA) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | RN222212 (GA) |
| Registered Nurse, General Practice | 163WG0000X | RN222212 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.