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Nurse Practitioner, Family

OLUWATOSIN AJIBOLA

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1063230464 · enumerated 2024-10-03 · record updated 2025-09-04. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Addresses and phones

Mailing address 4927 LAKE RIDGE PKWY STE 148, GRAND PRAIRIE, TX, 75052-3000 (972) 217-4203 Google Maps Apple Maps OpenStreetMap
Practice location 4927 LAKE RIDGE PKWY STE 148, GRAND PRAIRIE, TX, 75052-3000 (972) 217-4203 Google Maps Apple Maps OpenStreetMap

Specialties

Nurse Practitioner, Family 363LF0000X · Primary · License 1177043 TX

In this directory

TX Dallas County Grand Prairie Nurse Practitioner, Family

Locations and evidence

Practice location GRAND PRAIRIE, TX, 750523000
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.