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

Ibukun Odutola

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1801404074

Ibukun Odutola is a Nurse Practitioner in Prescott Valley, Arizona. Qualified in 2016, 10 years ago. Practices with West Yavapai Guidance Clinic Inc, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Nevada.

Years since qualifying
10
Licensed in
AZ, NV
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3345 N Windsong Dr
Prescott Valley, AZ 86314-2283
Phone: (928) 445-5211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 810773 (NV)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 244759 (AZ)

Record details

NPI number1801404074
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2020
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice West Yavapai Guidance Clinic Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Prescott Valley