Individual provider · Type 1 NPI

Adetola Makanjuola

Nurse Practitioner · Woodstock, GA

NPI number 1972499200 Active

Practice location

370 Tillman Pass
Woodstock, GA 30188-5632

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X285464 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1972499200

Adetola Makanjuola's National Provider Identifier is 1972499200, issued on Jun 13, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Woodstock, GA. The record was last updated on Jun 13, 2025.