Individual
MODUPEOLA CHRISTIANAH AKINJOLIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
8754 LAURELTON PL, BROWNSBURG, IN 46112-5809
(301) 765-4539
Mailing address
8754 LAURELTON PL, BROWNSBURG, IN 46112-5809
(301) 765-4539
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2025020180
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71016923A
IN
Other
Enumeration date
04/08/2025
Last updated
09/05/2025
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