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

Mrs. Abisoye Ifaseyi Odutayo, FNP-BC

Individual provider Primary Care Nurse Practitioner · NPI 1679911747

Mrs. Abisoye Ifaseyi Odutayo, FNP-BC is a Nurse Practitioner in South Houston, Texas. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
15
Licensed in
TX
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1201 S Alen Genoa Rd
South Houston, TX 77587
Phone: (713) 910-0000
Fax: (713) 910-0004
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP121759 (TX)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence AP121759 (TX)

Record details

NPI number1679911747
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedJune 11, 2013
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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