Individual provider · NPI-1

Olalekan Kehinde Adefowokan, FNP

Nurse Practitioner, Family · Newark, NJ

NPI number1295128791
StatusActive
Last updated in NPPESApr 6, 2026

Details

NPI
1295128791
Entity type
Individual (NPI-1)
Name
Olalekan Kehinde Adefowokan
Credential
FNP
Sex
Male
Sole proprietor
No
Enumeration date
Mar 9, 2015
Certification date
Apr 6, 2026
Last updated
Apr 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family26NJ00545900NJYes
363LP0808X Nurse Practitioner, Psych/Mental Health26NJ00545900NJ
363L00000X Nurse Practitioner26NJ00545900NJ

Practice location

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323

Phone 617-505-1520 · Fax 617-928-8401

Mailing address

109 State St.
5th Fl
Boston, MA 02109-2906

Phone 617-505-1520 · Fax 617-928-8401

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