Individual
IDARA INOKON AJALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2782 N COBB PKWY, KENNESAW, GA 30152-3472
(866) 389-2727
Mailing address
2782 N COBB PKWY, KENNESAW, GA 30152-3472
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024192081
VA
363LF0000X
Family Nurse Practitioner
014096
CT
363LF0000X
Family Nurse Practitioner
121412
WV
363LF0000X
Family Nurse Practitioner
1616433
WI
363LF0000X
Family Nurse Practitioner
201317
ND
363LF0000X
Family Nurse Practitioner
26NJ15319800
NJ
363LF0000X
Family Nurse Practitioner
29580
SC
363LF0000X
Family Nurse Practitioner
344819
NY
363LF0000X
Family Nurse Practitioner
37662
TN
363LF0000X
Family Nurse Practitioner
5021546
NC
363LF0000X
Family Nurse Practitioner
AC007091
MD
363LF0000X
Family Nurse Practitioner
CP003464
SD
363LF0000X
Family Nurse Practitioner
F344819-01
NY
363LF0000X
Family Nurse Practitioner
SP032801
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
GAA-NP001676
GA
Other
Enumeration date
11/26/2019
Last updated
12/17/2025
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