Individual provider · Type 1 NPI
Stephanie Fagbemi, FNP
Family Nurse Practitioner · Woodstock, GA
NPI number
1366095135
Active
Practice location
295 Molly Ln Ste A101
Woodstock, GA 30189-3760
Mailing address
295 Molly Ln Ste 150
Woodstock, GA 30189-3783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NCO-000003 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1366095135
Stephanie Fagbemi, FNP's National Provider Identifier is 1366095135, issued on Jul 22, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Woodstock, GA. The record was last updated on Jul 22, 2019.