# ADEWUNMI JULIUS BANKOLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912453788
- **Gender:** Man
- **Credential:** NURSE PRACTITIONER

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 710835 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ01131600 | NJ | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F403449 | NY | — |

## Other

- **Enumeration date:** 08/31/2016
- **Last updated:** 04/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0899062 | — | NJ |
