Individual
JENNIFER ADESINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6363 FOREST PARK 7TH STE 749, DALLAS, TX 75390-6914
(214) 645-8500
(214) 648-3775
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
880729
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1006418
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11016275
FL
Other
Enumeration date
05/21/2020
Last updated
09/22/2022
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