Individual
AMINAT BANJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2336 WISTERIA DR, SNELLVILLE, GA 30078-6191
(770) 733-1469
(770) 674-1628
Mailing address
2336 WISTERIA DR, SNELLVILLE, GA 30078-6191
(770) 733-1469
(770) 674-1628
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
RN288244
GA
363L00000X
Nurse Practitioner
Primary
APRN-NP288244
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN288244
GA
Other
Enumeration date
09/25/2024
Last updated
11/21/2025
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