Olayinka Afon, NP

Individual provider Active NPI Nurse Practitioner · Hampton, GA

NPI 1689147175 · NPPES record last updated Jan 7, 2019

Key facts

NPI
1689147175
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
201135 (GA)
Practice address
990 Bear Creek Blvd Ste G
Hampton, GA 30228-1864
Phone
(678) 479-1234
NPI assigned
Jan 7, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201135GAMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201135 GA Yes

Addresses

Primary practice location

990 Bear Creek Blvd Ste G
Hampton, GA 30228-1864

Mailing address

1112 Venetian LN
Hampton, GA 30228-6047
Phone (412) 983-1487

Other providers in Hampton, GA

All providers in Hampton, GA · Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.