Provider Demographics
NPI:1427735471
Name:AKINYOMBO, AKINOLA FRANCIS (MSN, RN)
Entity type:Individual
Prefix:MR
First Name:AKINOLA
Middle Name:FRANCIS
Last Name:AKINYOMBO
Suffix:
Gender:M
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36048 62ND ST
Mailing Address - Street 2:
Mailing Address - City:FORT CAVAZOS
Mailing Address - State:TX
Mailing Address - Zip Code:76544-4806
Mailing Address - Country:US
Mailing Address - Phone:257-287-6832
Mailing Address - Fax:
Practice Address - Street 1:36048 62ND ST
Practice Address - Street 2:
Practice Address - City:FORT CAVAZOS
Practice Address - State:TX
Practice Address - Zip Code:76544-4806
Practice Address - Country:US
Practice Address - Phone:257-287-6832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY462639-01163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management