Provider Demographics
NPI:1285420117
Name:OKESANYA, ABIGAIL ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:ELIZABETH
Last Name:OKESANYA
Suffix:
Gender:
Credentials:
Other - Prefix:MS
Other - First Name:ABIGAIL
Other - Middle Name:ELIZABETH
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1535 W 15TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66045-7608
Mailing Address - Country:US
Mailing Address - Phone:785-864-4720
Mailing Address - Fax:
Practice Address - Street 1:330 SW OAKLEY AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1995
Practice Address - Country:US
Practice Address - Phone:785-233-1730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program