Provider Demographics
NPI:1821757840
Name:ADEOYE, JULIE KIKELOMO (NP-C)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:KIKELOMO
Last Name:ADEOYE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 RACE RD STE 403
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-2386
Mailing Address - Country:US
Mailing Address - Phone:443-868-7101
Mailing Address - Fax:443-732-0054
Practice Address - Street 1:11406 KETTERING TER
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-1571
Practice Address - Country:US
Practice Address - Phone:301-793-3362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-17
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR223618363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily