Individual
GRACE OLUWABUKOLA OJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 HARTFORD ST, LAFAYETTE, IN 47904-2173
(765) 742-1567
Mailing address
10335 GATEWAY DR, INDIANAPOLIS, IN 46234-9000
(317) 457-4859
(317) 457-4859
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71017014A
IN
Other
Enumeration date
11/04/2025
Last updated
11/07/2025
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