Mrs. Olaitan A Eboda, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Cherry Hill, New Jersey
1114652138- Practice location
- 811 Church RD Ste 219, Cherry Hill, NJ 08002-1460
- Phone
- 732-372-5963
- Fax
- —
- Last updated
- March 28, 2023
Olaitan Adesola Eboda is a Nurse Practitioner, Psych/Mental Health based in Cherry Hill, NJ. Olaitan Adesola Eboda practices in Cherry Hill, NJ and has the professional credentials of PMHNP-BC. The NPI Number for Olaitan Adesola Eboda is 1114652138 and holds a License No. 26NJ01343700 (NJ). The current practice location address for Olaitan Adesola Eboda is 811 Church RD Ste 219, Cherry Hill, NJ 08002-1460 and can be reached out via phone at 732-372-5963.
Provider Profile Details
- NPI Number
- 1114652138
- Provider Name
- Olaitan Adesola Eboda
- Credential
- PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 811 Church RD Ste 219, Cherry Hill, NJ 08002-1460
- Phone Number
- 732-372-5963
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 22, 2022
- Last Update Date
- March 28, 2023
- Certification Date
- March 28, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 811 Church RD Ste 219
Cherry Hill, NJ 08002-1460 - City
- Cherry Hill
- State
- New Jersey
- Zip
- 08002-1460
- Phone Number
- 732-372-5963
Provider Business Mailing Address Details
- Address
- 811 Church RD Ste 219
Cherry Hill, NJ 08002-1460 - City
- Cherry Hill
- State
- NJ
- Zip
- 08002-1460
- Phone Number
- 732-372-5963
License Information
- License Number (1)
- 26NJ01343700
- License State (1)
- NJ
- Taxonomy (1)
- Psychiatry & Neurology, Addiction Psychiatry · 2084P0802X
- License Number (2)
- 26NJ01343700
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Olaitan A Eboda, PMHNP-BC?
The NPI number of Mrs. Olaitan A Eboda, PMHNP-BC is 1114652138. It was assigned on July 22, 2022 and is currently active in the NPPES registry.
What is the specialty of Mrs. Olaitan A Eboda, PMHNP-BC?
Mrs. Olaitan A Eboda, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ01343700.
Where does Mrs. Olaitan A Eboda, PMHNP-BC practice?
The practice location is 811 Church RD Ste 219, Cherry Hill, NJ 08002-1460. The office can be reached at 732-372-5963 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114652138 directly on the NPPES registry website.