Individual
JUBRIL ALADE ADEDIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, DNP
Contact information
Practice address
7615 AIMUA CT, HOUSTON, TX 77083-3741
(713) 992-5685
Mailing address
7615 AIMUA CT, HOUSTON, TX 77083-3741
(713) 992-5685
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
202214179RN
OR
363LF0000X
Family Nurse Practitioner
AP141677
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202214466NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP141677
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14474670
CAQH ID
—
05
—
500813853
—
OR
Enumeration date
05/27/2019
Last updated
12/28/2023
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