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

MODUPEOLA BRISIBE

Active Sole Proprietor

MODUPEOLA BRISIBE is a Family Nurse Practitioner healthcare provider located in MARIETTA, Georgia. NPI 1376993519 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · MARIETTA, GA

Registration Details

NPI Number
1376993519
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2016 (10.144250138715 yrs)
Last Updated
Apr 17, 2025
Licenses
192602 (GA)
RN192902 (GA)
Sole Proprietor
Yes

Practice Information

Address
280 COBB PKWY S STE 60
MARIETTA, GA, 300606531
Browse GA providers · Browse ZIP 30060
Phone
8886636331
Fax
4152527176
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in MARIETTA, GA

Name Credential NPI
MARY J LACY NP 1093701781
MRS. DARLENE MENDENHALL COYNE N.P. 1649267444
KARLA VANESSA MIRALLES DNP, APRN 1568450161
MS. PATRICIA ANNE BROWER FNP 1053300426
MRS. TERRY APT FNP 1982682340
MRS. ANNE DAVIDSON FURTAH LINDBLOOM FNP 1578533295
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.