Oluwakemi Victoria Fatokimi, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Jessup, MD
NPI 1932073145 · NPPES record last updated Oct 1, 2025
Key facts
- NPI
- 1932073145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R248478 (MD)
- Practice address
- 7555 Waterloo Rd
Jessup, MD 20794-9783 - Phone
- (410) 799-3400
- NPI assigned
- Oct 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| R248478 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | R248478 | MD | Yes |
Addresses
Primary practice location
7555 Waterloo Rd
Jessup, MD 20794-9783
Mailing address
100 Washington Ave S Ste 900
Minneapolis, MN 55401-2455
Other providers in Jessup, MD
- Louisa Mpah Eya
- Chineme Umunna Ezeigwe
- Family Care Pharmacy, Inc.
- Ayobami Fashina
- Fastcare Healthcare Solutions
- Nicole Marie Ford
- Franclemeck Pediatric Dentistry LLC
- Mesfin T Frew
- Brittney Gant
- Jessica Del Carmen Garcia Garner
All providers in Jessup, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 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.