Ayeni, Olubunmi Tina
Ayeni, Olubunmi Tina is an individual health care provider with primary practice located at 2759 Mount Zion Pkwy , Jonesboro GA 30236-2568. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Ayeni, Olubunmi Tina can be contacted via phone (678) 289-8338.Contact Information
Primary practice address
2759 Mount Zion Pkwy
Jonesboro GA 30236-2568
Phone: (678) 289-8338
Fax: (770) 603-0515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | RN174210 | Georgia |
Profile Details
| NPI number | 1508482746 |
|---|---|
| LBN Legal business name | Ayeni, Olubunmi Tina |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2020 |
| Last updated | Jun 23rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508482746 | NPPES |
| Georgia | Other | RN174210 | ADVANCED PRACTICE LICENSE |
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