Organization
HENRY IBITOKUN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY ADEWOLE IBITOKUN NP, APN (NURSE PRACTITIONER/OWNER)
(315) 610-6702
Entity
Organization
Contact information
Practice address
200 MIDDLESEX TPKE STE 210, ISELIN, NJ 08830-2033
(315) 610-6703
(315) 610-6703
Mailing address
88 ROOSEVELT AVE APT 105, CARTERET, NJ 07008-2583
(315) 610-6702
(315) 610-6703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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