FATIMAT OLUMAYOWA OLUFUNMILAYO AGBOJEYIN


Address: 105 Emerald Lake Ct, Fayetteville, GA 30215-7748
Phone: 4045132868

FATIMAT OLUMAYOWA OLUFUNMILAYO AGBOJEYIN (NPI# 1477189157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477189157
Entity Type Individual
Full Name FATIMAT OLUMAYOWA OLUFUNMILAYO AGBOJEYIN
Other Name OLUMAYOWA OLUFUNMILAYO AGBOEYIN
Practice Address 105 Emerald Lake Ct
Fayetteville
GA 30215-7748
Practice Telephone 4045132868
Mailing Telephone 4045132868
Enumeration Date 2020-03-13
Last Update Date 2020-03-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
177491 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 12345678 05

Office Location

Street Address 105 EMERALD LAKE CT
City FAYETTEVILLE
State GA
Zip Code 30215-7748

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801370051 Truly Nourished, LLC Dietitian, Registered 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 2018-09-23
1104343839 Pandora G Brown Specialist 65 Black Watch Ct, Fayetteville, GA 30215 2017-08-23
1902264492 Ty-re Lamont Dixon Sr. Durable Medical Equipment & Medical Supplies 220 Shoreline Dr., Fayetteville, GA 30215 2016-01-29
1962870030 Matthew Christian Alvarez Dentist 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 2015-09-08
1831534346 Kevin Tyler Goelz Radiology 605 Wentworth Ct, Fayetteville, GA 30215 2013-05-10
1518249739 William J. Holcomb Pharmacist 880 Hwy 85 South, Fayetteville, GA 30215 2011-09-14
1407168131 All Care Home Health Equipment, LLC Durable Medical Equipment & Medical Supplies 1000 Cooper Circle, Suite 201, Fayetteville, GA 30215 2010-07-10
1083854160 Rachel Blanks Licensed Practical Nurse 170 Brookwood Lane, Fayetteville, GA 30215 2009-03-02
1093964975 Brenda Carole Hayek Nurse Practitioner 735 Glynn Street S, Fayetteville, GA 30215 2008-09-16
1174700769 Katheryn D. Mcdonell Counselor 110 Dawn Drive, Fayetteville, GA 30215 2008-01-25
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548821069 Asic Behavioral Health, Pllc Nurse Practitioner 6977 Nexus Ct Ste 103, Fayetteville, NC 28304-2651 2019-06-25
1245794387 Stacey Lasandra Mitchell Nurse Practitioner 1415 Highway 85 N Ste 310-390, Fayetteville, GA 30214-7738 2019-01-23
1417206491 Casey J Scott Nurse Practitioner 4001 Cumberland Rd, Fayetteville, NC 28306-6703 2012-09-05
1972510519 Melodie W. Stembridge Nurse Practitioner 1100 No. College Avenue, Vhsa, Fayetteville, AR 72703 2006-08-02
1053313536 Margaret Jean Davis Nurse Practitioner 4276 Legend Avenue, Fayetteville, NC 28303-3497 2005-08-15
1811517469 Ifeoma Nnani Nurse Practitioner 2300 Ramsey St, Fayetteville, NC 28301-3856 2020-04-23
1497380414 Andrew Eisele Nurse Practitioner 1955 W Truckers Dr, Fayetteville, AR 72704-5637 2020-03-10
1417582545 Latoya Harley-dowden Nurse Practitioner 806 Hay St, Fayetteville, NC 28305-5312 2020-03-09
1104459114 Stephanie Bohannon Nurse Practitioner 112 W Center St Ste 201, Fayetteville, AR 72701-6073 2020-02-18
1891346664 Miriam Elyse Koesy Nurse Practitioner 4253 N Crossover Rd, Fayetteville, AR 72703-4593 2019-09-24
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Competitor

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City FAYETTEVILLE
Zip Code 30215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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