Individual
NOSIMOT TUTU ADEPEGBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8067 W VIRGINIA DR, DALLAS, TX 75237-3767
(972) 230-5601
Mailing address
1701 WYLIE CREEK DR, DESOTO, TX 75115-1716
(972) 333-9798
(469) 297-4659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
694029
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP138648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363LF0000X
FNP
TX
Enumeration date
05/15/2018
Last updated
12/16/2025
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