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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FANISKA MASSILLON

Active Sole Proprietor

FANISKA MASSILLON is a Family Nurse Practitioner healthcare provider located in NORCROSS, Georgia. NPI 1093338733 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · NORCROSS, GA

Registration Details

NPI Number
1093338733
Provider Type
Individual
Gender
Female
NPI Issued
May 27, 2020 (6.0356331396715 yrs)
Last Updated
Jan 26, 2025
Licenses
95030305 (CA)
APRN11006594 (FL)
F346372-01 (NY)
Sole Proprietor
Yes

Practice Information

Address
PO BOX 920095
NORCROSS, GA, 300100095
Browse GA providers · Browse ZIP 30010
Phone
4073089573
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in NORCROSS, GA

Name Credential NPI
DENISE S REYNOLDS NP 1285620914
GRACE KOUCHERAVY FNP 1528048238
IJE EGO OFODILE FNP 1881653715
MS. BALWINDER KAUR NP 1154364123
JUDITH A SMITH FNP-C 1750318366
MRS. WHITNEY VERDERY PAGE NP 1417961582
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.