Individual
IJENI JESSICA MASAGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 778-1900
Mailing address
1365 CLIFTON RD NE STE C-2004, ATLANTA, GA 30322-7043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN319872
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2023
Last updated
11/11/2025
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