Individual provider · Type 1 NPI

Benaissa Kaddour Djebbar

Family Nurse Practitioner · Augusta, GA

NPI number 1114200029 Active

Practice location

3405 Mike Padgett Hwy, East Central Regional Hospital -Forensic Unit
Augusta, GA 30906-3815

Mailing address

2060 Dundee Way
Grovetown, GA 30813-8124

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN 204732 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1114200029

Benaissa Kaddour Djebbar's National Provider Identifier is 1114200029, issued on Sep 27, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Augusta, GA. The record was last updated on Sep 27, 2011.