Provider Demographics
NPI:1700614278
Name:ADESINA, CHRISTIANA CHIKERE
Entity type:Individual
Prefix:MRS
First Name:CHRISTIANA
Middle Name:CHIKERE
Last Name:ADESINA
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 1:5010 MOSS GARDEN LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5848
Mailing Address - Country:US
Mailing Address - Phone:346-314-7984
Mailing Address - Fax:
Practice Address - Street 1:5010 MOSS GARDEN LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5848
Practice Address - Country:US
Practice Address - Phone:346-314-7984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1007451363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily