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

DR. MODUPE AGBEYOMI, DNP, FNP-C

Active Sole Proprietor

Family Nurse Practitioner · BROOKHAVEN, GA

Registration Details

NPI Number
1245715903
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2018 (7.565760681605 yrs)
Last Updated
Nov 29, 2023
Licenses
F09180151 (GA)
F09180151 (GA)
Sole Proprietor
Yes

Practice Information

Address
13 CORPORATE BLVD NE STE 200
BROOKHAVEN, GA, 303291900
Browse GA providers · Browse ZIP 30329
Phone
7705571079
Fax
7708726621
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Infusion Therapy Clinic
Additional Specialty
Migrant Health Clinic

Other Family Nurse Practitioner Providers in BROOKHAVEN, GA

Name Credential NPI
MRS. OLIVIA MAZZOLINI FNP 1568852366
KELLY PERDOMO NP-C 1669917985
MRS. ALYSSA DANIELLE GUNAWAN FNP-C 1710426879
AUDREY WILLIAMS JONES FNP 1851831788
ROSANI PATEL FNP-C 1770024820
KIANA MOVAHED OHLSON NP 1851806244
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.