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

Individual provider Nurse Practitioner · NPI 1427875475

Oluwagbenga Koriko, CRNP is a Nurse Practitioner in Montgomery, Alabama. Qualified in 2024, 2 years ago. Practices with Jackson Hospital and Clinic, Inc, a 118-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
2
Licensed in
AL
In the registry since
2024
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1758 Park Pl Ste 300
Montgomery, AL 36106-1137
Phone: (334) 293-8922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-146454 (AL)
Nurse Practitioner Taxonomy 363L00000X · Licence 1-146454 (AL)

Record details

NPI number1427875475
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 22, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Jackson Hospital And Clinic, Inc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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