Provider Demographics
NPI:1235757014
Name:ADELEKE, ADENIKE A (APRN PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ADENIKE
Middle Name:A
Last Name:ADELEKE
Suffix:
Gender:F
Credentials:APRN PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 VINTAGE PARK BLVD STE W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4096
Mailing Address - Country:US
Mailing Address - Phone:832-350-2018
Mailing Address - Fax:
Practice Address - Street 1:118 VINTAGE PARK BLVD STE W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4096
Practice Address - Country:US
Practice Address - Phone:832-350-2018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-08
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1018364363LP0808X
CA95026590363LP0808X
TXAP1018364363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1366562225OtherFPW GROUP
TX1018364OtherAPRN-CNP
TX888853OtherBOARD OF NURSING REGISTERED NURSE