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Contact Information

MODUPE AGBEYOMI, DNP, FNP-C
13 CORPORATE BLVD NE STE 200
BROOKHAVEN, GA30329-1900
 Phone: 770-557-1079
 Fax: 770-872-6621
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Home Infusion

251F00000X
 

Infusion Therapy

261QI0500X
 

Migrant Health

261QM1000X
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

School

363LS0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MODUPE AGBEYOMI · (Female)

NPI # 1245715903
Status Active
Credentials DNP, FNP-C
Entity Individual
Enumeration date 09/28/2018
Last updated 11/29/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # F09180151
  • GA Medicaid F09180151
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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