STANLEY IMOLEAYO OKEYEMI PMHNP NPI 1487122073

NPI Information

NPI: 1487122073
Provider Name: STANLEY IMOLEAYO OKEYEMI, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: IPC PAC HEALTHCARE SERVICES OF TEXAS PLLC

PECOS Registration: Yes

Address:
4645 SAMUELL BLVD
DALLAS, TX
ZIP 75228
Phone: (214) 275-7393
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Stanley Imoleayo Okeyemi, PMHNP is a psychiatric/mental health nurse practitioner in Dallas, TX with 6 years of experience. Stanley Imoleayo Okeyemi, PMHNP NPI is 1487122073. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4645 SAMUELL BLVD
DALLAS, TX
ZIP 75228-826
Phone: (214) 275-7393

The NPI 1487122073 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/13/2018 and was last updated on 3/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP139584	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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