Individual provider · Type 1 NPI
Limata Ayinke Amoussa Madjibi
Psychiatric/Mental Health Nurse Practitioner · Atlanta, GA
NPI number
1184325862
Active
Practice location
3915 Cascade Rd SW Ste 360
Atlanta, GA 30331-8533
Fax (470) 819-4995
Mailing address
1543 Sooner Ct
Lawrenceville, GA 30045-6618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN274105 (GA) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN274105 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1184325862
Limata Ayinke Amoussa Madjibi's National Provider Identifier is 1184325862, issued on Mar 10, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Atlanta, GA. The record was last updated on May 28, 2024.