Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adesola Adefowoju

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1518713668

Adesola Adefowoju is a Nurse Practitioner in Owings Mills, Maryland. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2024

Practice location Address checks out

20 Pleasant Ridge Dr Ste G
Owings Mills, MD 21117-2560
Phone: (443) 438-6893
Fax: (443) 869-4437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R210660 (MD)

Record details

NPI number1518713668
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 29, 2024
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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