Healthcare Provider Details

I. General information

NPI: 1861730988
Provider Name (Legal Business Name): JANE MESIKU ABUCHA DNP, ACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2013
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2675 PACES FERRY RD SE STE 200
ATLANTA GA
30339-4099
US

IV. Provider business mailing address

12851 W BELL RD STE 126
SURPRISE AZ
85378-9610
US

V. Phone/Fax

Practice location:
  • Phone: 470-268-2875
  • Fax: 470-268-2876
Mailing address:
  • Phone: 480-251-4492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberGAA-NP005005
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP4804
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: