Henry Adewole Ibitokun, APN-C is a psychiatric/mental health nurse practitioner in Linden, NJ. Henry Adewole Ibitokun, APN-C NPI is 1194109744. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
10 N WOOD AVE STE B2
LINDEN, NJ
ZIP 07036-200
Phone: (315) 610-6702
Fax: (315) 610-6703
The NPI 1194109744 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 31D2237397 - mobile laboratory with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/14/2015 and was last updated on 1/4/2024.