Oluwatosin B Ajibola
Oluwatosin B Ajibola is a Nurse Practitioner in Grand Prairie, Texas. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Texas.
- Years since qualifying
- 2
- Licensed in
- TX
- In the registry since
- 2024
Practice location Address checks out
4927 Lake Ridge Pkwy Ste 148Grand Prairie, TX 75052-3000
Phone: (972) 217-4203
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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 1177043 (TX) |
|---|
Record details
| NPI number | 1063230464 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2024 |
| Last updated in NPPES | September 4, 2025 |
| Certification date | September 4, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
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