Basic Information
Provider Information
NPI: 1821453648
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALABI
FirstName: OLAMIDE
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: MSN, PMHNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 152 HIGHWAY 7 S
Address2:  
City: OXFORD
State: MS
PostalCode: 386555392
CountryCode: US
TelephoneNumber: 6622347521
FaxNumber: 6622363071
Practice Location
Address1: 152 HIGHWAY 7 S
Address2:  
City: OXFORD
State: MS
PostalCode: 386555392
CountryCode: US
TelephoneNumber: 6622347051
FaxNumber: 6622363071
Other Information
ProviderEnumerationDate: 12/21/2015
LastUpdateDate: 10/08/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/08/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808X130384AKN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health
363LP0808X901408MSY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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