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Organization
ABLE HEALTHCARE NURSE PRACTITIONER IN PSYCHIATRY PLLC
Active
Organization
ABLE HEALTHCARE NURSE PRACTITIONER IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAUSAT FUNMILOLA ODUBIYI DNP/PMHNP-BC/APN (CEO)
(609) 471-3560
Entity
Organization
Contact information
Practice address
1221 N CHURCH ST STE 103-E, MOORESTOWN, NJ 08057-1245
(609) 471-3560
(833) 520-1488
Mailing address
1221 N CHURCH ST STE 103-E, MOORESTOWN, NJ 08057-1245
(929) 663-7542
(833) 520-1488
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
04/29/2026
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