Provider Demographics
NPI:1215656749
Name:AYODEJI, MOTUNRAYO ATINUKE (DNP)
Entity type:Individual
Prefix:DR
First Name:MOTUNRAYO
Middle Name:ATINUKE
Last Name:AYODEJI
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 BLENHEIM DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-3403
Mailing Address - Country:US
Mailing Address - Phone:301-404-8016
Mailing Address - Fax:
Practice Address - Street 1:116 BLENHEIM DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-3403
Practice Address - Country:US
Practice Address - Phone:434-209-5840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001228193363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health