Healthcare Provider Details

I. General information

NPI: 1982025466
Provider Name (Legal Business Name): FAHTIMA SESAY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2013
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 LOCKBOURNE RD
COLUMBUS OH
43206-3736
US

IV. Provider business mailing address

PO BOX 746071
ATLANTA GA
30374-6071
US

V. Phone/Fax

Practice location:
  • Phone: 614-930-1012
  • Fax:
Mailing address:
  • Phone: 773-352-1515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0031679
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number0031679
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number395178
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: