Samson Ajibola Omowumi

Nurse Practitioner - Psych/Mental Health

5401 N Knoxville Ave, Peoria
  Illinois, 61614-5098
614-816-7589
May or may not accept Medicare Nurse Anesthetist in Peoria, Illinois.
Samson Ajibola Omowumi is a Peoria, Illinois based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Samson Ajibola Omowumi is 209.030167 for Psych/Mental Health in Illinois. His current practice location is 5401 N Knoxville Ave, Peoria. Patients can reach him at 614-816-7589 with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1457181877.
Samson Ajibola Omowumi provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Samson Ajibola Omowumi speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Samson Ajibola Omowumi
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Male
Practice Address:5401 N Knoxville Ave, Peoria,
Illinois, 61614-5098
Phone:614-816-7589
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1457181877
NPI Enumeration Date: 02 Aug, 2024
NPI Last Update On: 02 Aug, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samson Ajibola Omowumi are as mentioned below.
License NumberSpecializationStateStatus
209.030167Psych/Mental Health IllinoisPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Samson Ajibola Omowumi
10830 N Sawmill Ln,
Dunlap, Illinois
Zip: 61525-7514
Phone Number: 614-816-7589
Patients can reach Samson Ajibola Omowumi at 5401 N Knoxville Ave, Peoria, Illinois or can call to book an appointment on 614-816-7589.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.