Individual
OLALEKAN KEHINDE ADEFOWOKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1 GATEWAY CTR STE 2600, NEWARK, NJ 07102-5323
(617) 505-1520
(617) 928-8401
Mailing address
109 STATE ST., 5TH FL, BOSTON, MA 02109-2906
(617) 505-1520
(617) 928-8401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00545900
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00545900
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ00545900
NJ
Other
Enumeration date
03/09/2015
Last updated
04/06/2026
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