Dr. Taiwo Olugbenga Ajani, DNP, CRNP, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Laurel, MD. Individual provider (NPI-1).
NPI number1982170213
StatusActive
Last updated in NPPESAug 1, 2023
Details
- NPI
- 1982170213
- Entity type
- Individual (NPI-1)
- Name
- Dr. Taiwo Olugbenga Ajani
- Credential
- DNP, CRNP, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2018
- Certification date
- Aug 1, 2023
- Last updated
- Aug 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | R159659 | MD | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | RN1002193 | DC | |
| 363LA2200X | Nurse Practitioner, Adult Health | R159659 | MD |
Practice location
9811 Mallard Dr Ste 120Laurel, MD 20708-3180
Phone 443-713-8643
Mailing address
1900 E Northern Pkwy Ste T7Baltimore, MD 21239-2120
Phone 443-713-8643
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