Individual provider · Type 1 NPI
Modupe Agbeyomi, DNP, FNP-C
Family Nurse Practitioner · Brookhaven, GA
NPI number
1245715903
Active
Practice location
13 Corporate Blvd NE Ste 200
Brookhaven, GA 30329-1900
Fax (770) 872-6621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Infusion Agency | 251F00000X | None listed |
| Infusion Therapy Clinic/Center | 261QI0500X | None listed |
| Migrant Health Clinic/Center | 261QM1000X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | F09180151 (GA) |
| School Nurse Practitioner | 363LS0200X | F09180151 (GA) |
| Family Nurse Practitioner Primary | 363LF0000X | F09180151 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1245715903
Modupe Agbeyomi, DNP, FNP-C's National Provider Identifier is 1245715903, issued on Sep 28, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brookhaven, GA. The record was last updated on Nov 29, 2023.