Provider Demographics
NPI:1356697247
Name:IKHILE, OLAYEMI (DNP)
Entity type:Individual
Prefix:
First Name:OLAYEMI
Middle Name:
Last Name:IKHILE
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 1:4410 BROOKFIELD CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-1662
Mailing Address - Country:US
Mailing Address - Phone:571-569-0607
Mailing Address - Fax:571-569-0608
Practice Address - Street 1:8711 PLANTATION LN STE 302
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8322
Practice Address - Country:US
Practice Address - Phone:571-569-0607
Practice Address - Fax:571-569-0608
Is Sole Proprietor?:No
Enumeration Date:2012-07-28
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170210363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily