Abiodun Ajayi, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Spanish Fort, AL
NPI 1467218883 · NPPES record last updated Feb 23, 2024
Key facts
- NPI
- 1467218883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 2022092224 (AL)
- Practice address
- 31533 Heidelbrook Loop # Al36527
Spanish Fort, AL 36527-8506 - Phone
- (251) 243-3657
- NPI assigned
- Feb 23, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2022092224 | AL | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2022092224 | AL | Yes |
Addresses
Primary practice location
31533 Heidelbrook Loop # Al36527
Spanish Fort, AL 36527-8506
Mailing address
31533 Heidelbrook Loop # Al36527
Spanish Fort, AL 36527-8506
Phone (251) 243-3657
Other providers in Spanish Fort, AL
- Acts Signature Community Services, Inc.
- Acts Signature Community Services, Inc.
- Daniel Scott Adams
- Meredith I Addess
- Affordable Psychiatric Help, LLC
- Alabama Coastal Counseling Services, LLC
- Alamed LLC
- Amey Elite Healthcare, LLC
- Jolanda Monique Amey
- Astra Autumn Amonett
All providers in Spanish Fort, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2024. 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.