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NPI Code Detail

MEDICARE: MRS. MONICA FAJOBI APRN, FNP-BC

MEDICARE: MRS. MONICA FAJOBI APRN, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN-NP104751GA

General Provider Information

NPI Number : 1376156562
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MONICA FAJOBI APRN, FNP-BC
Provider Business Mailing Address
First Line : PO BOX 740015
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0015
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1825 ROCKBRIDGE RD STE 15B
Second Line :
City : STONE MOUNTAIN
State : GA
Zip : 30087-3306
Country : US
Telephone Number : 470-444-3134
Fax Number : 470-276-4370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2020
Last Update Date : 12/11/2025

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