Dr. Susanah Adebola Adegbenjo, DNP
Nurse Practitioner, Family in Greensboro, NC. Individual provider (NPI-1).
NPI number1023880531
StatusActive
Last updated in NPPESOct 27, 2023
Details
- NPI
- 1023880531
- Entity type
- Individual (NPI-1)
- Name
- Dr. Susanah Adebola Adegbenjo
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2023
- Certification date
- Oct 27, 2023
- Last updated
- Oct 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 5019073 | NC | Yes |
Practice location
3822 N Elm St Ste 102Greensboro, NC 27455-2596
Phone 336-541-8120 · Fax 336-541-8130
Mailing address
3822 N Elm St Ste 102Greensboro, NC 27455-2596
Phone 336-541-8120 · Fax 336-541-8130
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