Adebola Omolara Ilesanmi FNP

NPI # 

Practice Address:

601 S Martin Luther King Jr Dr , Room 244

Winston Salem, NC, 27110-0001

Practice Phone:

336-750-3300

Practice Fax:

336-750-3303

License Number:

201969

License State:

NC

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Family

Taxonomy Code:

363LF0000X

Updated by NPPES on 1/13/2009. You can view the original data set for NPI # 1285784033 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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