Individual provider · Type 1 NPI
Dusuba Khadijah Fofanah
Psychiatric/Mental Health Nurse Practitioner · Vienna, VA
NPI number
1013878669
Active
Practice location
8391 Old Courthouse Rd Ste 330
Vienna, VA 22182-4104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024197666 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1013878669
Dusuba Khadijah Fofanah's National Provider Identifier is 1013878669, issued on Nov 22, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Vienna, VA. The record was last updated on Oct 23, 2026.