Healthcare Provider Details

I. General information

NPI: 1710379730
Provider Name (Legal Business Name): JESSICA HENRIETTA OPPONG ASUMADU MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2015
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

771 OLD NORCROSS RD STE 225
LAWRENCEVILLE GA
30046-4982
US

IV. Provider business mailing address

4300 N POINT PKWY STE 300
ALPHARETTA GA
30022-4102
US

V. Phone/Fax

Practice location:
  • Phone: 678-802-4045
  • Fax: 770-407-2059
Mailing address:
  • Phone: 770-442-1911
  • Fax: 770-442-0306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN262737
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: