Individual
STANLEY IMOLEAYO OKEYEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
4645 SAMUELL BLVD, DALLAS, TX 75228-6826
(214) 275-7393
Mailing address
703 RIVERWOOD CT, MANSFIELD, TX 76063-2272
(469) 245-4643
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP139584
TX
Other
Enumeration date
11/13/2018
Last updated
10/18/2022
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