Provider Demographics
NPI:1962393280
Name:ADEDOKUN, GBEMISOLA
Entity type:Individual
Prefix:
First Name:GBEMISOLA
Middle Name:
Last Name:ADEDOKUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:944 SUMMER HILL CIR
Mailing Address - Street 2:
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-1234
Mailing Address - Country:US
Mailing Address - Phone:240-883-4839
Mailing Address - Fax:
Practice Address - Street 1:2124 MLK JR AVE
Practice Address - Street 2:SE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020
Practice Address - Country:US
Practice Address - Phone:240-883-4839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1052082163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty