Individual
ADJARA ISSIFU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 E CORNWALLIS DR, GREENSBORO, NC 27408-5103
(866) 389-2727
Mailing address
309 E CORNWALLIS DR, GREENSBORO, NC 27408-5103
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013482
NC
Other
Enumeration date
09/05/2020
Last updated
08/18/2022
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