Olubukola Adetoye
Individual provider Active NPI Registered Nurse · Dacula, GA
NPI 1376083535 · NPPES record last updated Mar 7, 2025
Key facts
- NPI
- 1376083535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN194402 (GA)
- Practice address
- 2997 Overlook Hill Pass
Dacula, GA 30019-5106 - Phone
- (678) 896-8343
- NPI assigned
- Mar 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN194402 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Family and Community Services Limited | Nursing Care | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| Registered Nurse | 163W00000X | RN194402 | GA | Yes |
Addresses
Primary practice location
2997 Overlook Hill Pass
Dacula, GA 30019-5106
Mailing address
2997 Overlook Hill Pass
Dacula, GA 30019-5106
Phone (678) 659-9287
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.