person
Modupeore Ajibade
Psychiatric/Mental Health Nurse Practitioner in Newark, New Jersey
NPI 1689425340

Modupeore Ajibade is a Psychiatric/Mental Health Nurse Practitioner based in Newark, NJ and is specialized in Psychiatric/Mental Health. Modupeore Ajibade practices in Newark, NJ. The NPI Number for Modupeore Ajibade is 1689425340 and holds a License No. 26NJ15019300 (New Jersey).

The current practice location address for Modupeore Ajibade is 175-177 Grumman Ave, Newark, NJ and can be reached out via phone at 856-655-1835.

Location: 175-177 Grumman Ave, Newark, NJ, 07112-1702
person
Provider Profile Details
NPI Number
1689425340
Provider Name
Modupeore Ajibade
Credential
Provider Entity Type
Individual
Gender
Female
Address
175-177 Grumman Ave, Newark, NJ, 07112-1702
Phone Number
856-655-1835
Fax Number
Provider Enumeration Date
04/01/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
175-177 Grumman Ave
City
State
Zip
07112-1702
Phone Number
856-655-1835
Fax Number
person
Provider Business Mailing Address Details
Address
175-177 Grumman Ave
City
State
Zip
07112-1702
Phone Number
856-655-1835
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
26NJ15019300 (New Jersey)
Definition
Definition to come...
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