Individual
ADETUNJI ADENIPEKUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1409 ROPER MOUNTAIN RD APT 538, GREENVILLE, SC 29615-5174
(312) 834-9016
Mailing address
1409 ROPER MOUNTAIN RD APT 538, GREENVILLE, SC 29615-5174
(312) 834-9016
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30602A
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NN1498
—
SC
Enumeration date
11/11/2024
Last updated
02/11/2026
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