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

EMMANUEL D DAFIVBIRORO, APRN

Active

EMMANUEL D DAFIVBIRORO, APRN is a Primary Care Nurse Practitioner healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1215633912 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · STONE MOUNTAIN, GA

Registration Details

NPI Number
1215633912
Provider Type
Individual
Gender
Male
NPI Issued
Feb 3, 2023 (3.5117289831686 yrs)
Last Updated
Oct 29, 2025
License
APRN-NP154440 (GA)

Practice Information

Address
6297 ROBINS TRCE
STONE MOUNTAIN, GA, 300876537
Browse GA providers · Browse ZIP 30087
Phone
7704131424
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in STONE MOUNTAIN, GA

Name Credential NPI
MRS. LAURA RENAE WILSON MSN, APRN-BC 1104032218
NANCY R JACKSON-PATTERSON NURSE PRACTITIONER 1366043887
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.