Active NPIIndividual providerSole proprietor

Adewunmi J Bankole, NURSE PRACTITIONER

Nurse Practitioner, Psych/Mental Health in Staten Island, New York

NPI Number1912453788
Practice location
261 Merrymount St, Staten Island, NY 10314-4850
Fax
—
Last updated
April 3, 2023

Adewunmi Julius Bankole is a Nurse Practitioner, Psych/Mental Health based in Staten Island, NY. Adewunmi Julius Bankole practices in Staten Island, NY and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Adewunmi Julius Bankole is 1912453788 and holds a License No. 710835 (NY). The current practice location address for Adewunmi Julius Bankole is 261 Merrymount St, Staten Island, NY 10314-4850 and can be reached out via phone at 347-855-1908.

Provider Profile Details

NPI Number
1912453788
Provider Name
Adewunmi Julius Bankole
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
261 Merrymount St, Staten Island, NY 10314-4850
Phone Number
347-855-1908
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
August 31, 2016
Last Update Date
April 3, 2023
Certification Date
April 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
261 Merrymount St
Staten Island, NY 10314-4850
Zip
10314-4850
Phone Number
347-855-1908
Staten Island, NY 10314Get directions →

Provider Business Mailing Address Details

Address
261 Merrymount St
Staten Island, NY 10314-4850
City
Staten Island
State
NY
Zip
10314-4850
Phone Number
347-855-1908

License Information

License Number (1)
710835
License State (1)
NY
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
F403449
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
26NJ01131600
License State (3)
NJ
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Adewunmi J Bankole, NURSE PRACTITIONER?

The NPI number of Adewunmi J Bankole, NURSE PRACTITIONER is 1912453788. It was assigned on August 31, 2016 and is currently active in the NPPES registry.

What is the specialty of Adewunmi J Bankole, NURSE PRACTITIONER?

Adewunmi J Bankole, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number 710835.

Where does Adewunmi J Bankole, NURSE PRACTITIONER practice?

The practice location is 261 Merrymount St, Staten Island, NY 10314-4850. The office can be reached at 347-855-1908 (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 1912453788 directly on the NPPES registry website.

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