Olaitan Adesola Eboda, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Cherry Hill, NJ. Individual provider (NPI-1).
NPI number1114652138
StatusActive
Last updated in NPPESMar 28, 2023
Details
- NPI
- 1114652138
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Olaitan Adesola Eboda
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2022
- Certification date
- Mar 28, 2023
- Last updated
- Mar 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 26NJ01343700 | NJ | Yes |
| 2084P0802X | Psychiatry & Neurology, Addiction Psychiatry | 26NJ01343700 | NJ |
Practice location
811 Church Rd Ste 219Cherry Hill, NJ 08002-1460
Phone 732-372-5963
Mailing address
811 Church Rd Ste 219Cherry Hill, NJ 08002-1460
Phone 732-372-5963
Other practice locations
2386 Morris Ave # 107-109
Union, NJ 07083-5723
Union, NJ 07083-5723
Phone 732-372-5963
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