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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508482746 NPPES
Georgia Other RN174210 ADVANCED PRACTICE LICENSE

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