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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1922979400

Oyindamola Olubukola Ajayi is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

15715 S 46th St Ste 100
Phoenix, AZ 85048-0439
Phone: (480) 961-2365
Fax: (480) 961-2382
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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 258520 (AZ)

Record details

NPI number1922979400
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 16, 2025
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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