Provider Demographics
NPI:1083424428
Name:OLAJIDE, OLADOJA DEBORAH (PMHNP)
Entity type:Individual
Prefix:MISS
First Name:OLADOJA
Middle Name:DEBORAH
Last Name:OLAJIDE
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3915 FORD DR
Mailing Address - Street 2:
Mailing Address - City:HEARTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75126-3701
Mailing Address - Country:US
Mailing Address - Phone:469-753-3737
Mailing Address - Fax:
Practice Address - Street 1:3915 FORD DR
Practice Address - Street 2:
Practice Address - City:HEARTLAND
Practice Address - State:TX
Practice Address - Zip Code:75126-3701
Practice Address - Country:US
Practice Address - Phone:469-753-3737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1030189363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health