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

Olubukunola Odeyemi

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1528790060

Olubukunola Odeyemi is a Nurse Practitioner in Mount Laurel, New Jersey. Qualified in 2022, 4 years ago. Practices with State of New Jersey Omb Centralized Payroll, a 129-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

13 Lavister Dr
Mount Laurel, NJ 08054-2641
Phone: (973) 865-2129
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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 26NR15421100 (NJ)

Record details

NPI number1528790060
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 24, 2022
Last updated in NPPESJune 24, 2022
Certification dateJune 24, 2022
Mailing address13 Lavister Dr, Mount Laurel, NJ 08054-2641

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice State Of New Jersey Omb Centralized Payroll — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mount Laurel