NPI 1003766619

Omowoleola Bakare

Practitioner Psychiatric/Mental Health Nurse Practitioner South Jordan, UT

Practice location

Address: 1654 W Reunion Ave STE 10b, South Jordan, UT 84095-4676
Phone: (801) 349-2480
Mailing address: 965 E 5290 S, Murray, UT 84117-6671

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 2025099576 (UT)

Other Nurse Practitioner providers in Utah →

Registry record

NPI: 1003766619
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2026
Record last updated: 26 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.