Funmilayo Akinjagunla, FNP | |
2727 Bolton Boone Dr Ste 102, Desoto, TX 75115-2019 | |
(214) 524-9443 | |
Not Available |
Full Name | Funmilayo Akinjagunla |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2727 Bolton Boone Dr Ste 102, Desoto, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609422567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 974515 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1169898 (Texas) | Primary |
Entity Name | Legacy Physiatry Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316078769 PECOS PAC ID: 1759353519 Enrollment ID: O20070907000584 |
Mailing Address | Practice Location Address |
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Funmilayo Akinjagunla, FNP 2727 Bolton Boone Dr Ste 102, Desoto, TX 75115-2019 Ph: (214) 524-9443 | Funmilayo Akinjagunla, FNP 2727 Bolton Boone Dr Ste 102, Desoto, TX 75115-2019 Ph: (214) 524-9443 |
Emelda Olisaeke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 941 York Dr, Desoto, TX 75115 Phone: 972-283-6286 | |
Margaret Uyai Okon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 N Hampton Rd, Suite 100, Desoto, TX 75115 Phone: 972-228-3678 | |
Lori Elizabeth Secerovic, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 South Interstate 35 East, Desoto, TX 75115 Phone: 469-341-7800 | |
Smart Nwachukwu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 341 Crystal Lake Dr, Desoto, TX 75115 Phone: 214-872-0280 | |
Ashlene Alcazar Sanchez, FNP-C, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 726 W Belt Line Rd, Desoto, TX 75115 Phone: 469-495-9152 | |
Crystal Taylor Capler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 951 York Dr Ste 105, Desoto, TX 75115 Phone: 214-242-9316 | |
Jennifer Mccormack, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2715 Bolton Boone Dr Ste B, Desoto, TX 75115 Phone: 972-780-8009 Fax: 972-780-6115 |