Ayoola-Yussuf, Ebunola M

Ayoola-Yussuf, Ebunola M is an sole proprietor health care provider with primary practice located at 13000 Harbor Center Dr Ste 103 , Woodbridge VA 22192-2847. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Licensed Practical Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ayoola-Yussuf, Ebunola M can be contacted via phone (703) 977-6556.

Contact Information

Primary practice address
13000 Harbor Center Dr Ste 103 Woodbridge VA 22192-2847
Phone: (703) 977-6556
Fax: (703) 997-1490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024182859 Virginia
Nursing Service Providers / Registered Nurse 163W00000X 0001244167 Virginia
Nursing Service Providers / Licensed Practical Nurse 164W00000X 289579 New York
Nursing Service Providers / Registered Nurse 163W00000X 624955-1 New York

Profile Details

NPI number 1497938849
LBN Legal business name Ayoola-Yussuf, Ebunola M
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2007
Last updated Nov 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497938849 NPPES
Virginia Other 0024182859 PSYCHIATRIC NURSE PRACTITIONER

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