Individual
BUKOLA O ADEGBOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
309 CRUTCHFIELD ST, DURHAM, NC 27704-2754
(919) 560-7305
(919) 560-7480
Mailing address
11361 N 99TH AVE STE 402, PEORIA, AZ 85345-5459
(602) 650-1212
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5018600
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5018600
NC
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
2003225
NC
Other
Enumeration date
07/10/2023
Last updated
04/02/2026
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