Individual provider · Type 1 NPI

Hassanatu Idibia

Licensed Practical Nurse · Dacula, GA

NPI number 1699631135 Active

Practice location

3421 Meadow Grass Dr
Dacula, GA 30019-1360

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN093903 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1699631135

Hassanatu Idibia's National Provider Identifier is 1699631135, issued on Dec 29, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dacula, GA. The record was last updated on Dec 29, 2025.