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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1790124980

Mulikat Bolanle Ilesanmi is a Nurse Practitioner in Mansfield, Texas. Qualified in 2023, 3 years ago. Practices with 4L-A Clinic and Consultants, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2013
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Practice location Address checks out

1409 Old Rocksprings Pass
Mansfield, TX 76063-2219
Phone: (443) 713-9223
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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 363LP0808X (TX)

Record details

NPI number1790124980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2013
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 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)
Group practice 4l-A Clinic And Consultants, Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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