Individual
MS. ABISOLA A AJAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
36 LINDEN AVE NE, ATLANTA, GA 30308-2951
(404) 686-2391
(404) 686-4835
Mailing address
36 LINDEN AVE NE, ATLANTA, GA 30308-2951
(404) 686-2391
(404) 686-4835
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN210095
GA
363LF0000X
Family Nurse Practitioner
Primary
RN210095
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003173644J
—
GA
01
—
202I508927
MEDICARE PTAN
GA
Enumeration date
10/09/2015
Last updated
10/16/2025
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