IndividualActive
Abisola Ibrahim, WHNP/AGPCNP
NPI 1649798232 · Gerontology Nurse Practitioner · San Antonio, TX
Provider details
- NPI number
- 1649798232
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- WHNP/AGPCNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2020023180 (MO)
Mailing address
4502 Medical Dr
San Antonio, TX 78229-4402
Registry dates
- Enumerated
- 2017-09-02
- Last updated
- 2022-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.