| Doctor Name: | MRS. GRACE AJAYI |
| NPI Number: | 1922258391 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R118268 |
| Business Practice Address: | 6201 Greenbelt Rd Suite U-15 Berwyn Heights, MD - 207402354 |
| Business Phone Number: | 3013139016 |
| Business Fax Number: | |
| Mailing Address: | 12469 Petrillo Dr, HIGHLAND |
| State: | MD |
| Postal Code: | 207779567 |
| Phone Number: | 3018541822 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2008 |
| NPI Last Update Date: | 09/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R118268 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |