Victoria Modupe Benard, Nurse Practitioner
Nurse Practitioner in Decatur, GA. Individual provider (NPI-1).
NPI number1306200852
StatusActive
Last updated in NPPESAug 23, 2024
Details
- NPI
- 1306200852
- Entity type
- Individual (NPI-1)
- Name
- Victoria Modupe Benard
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2016
- Certification date
- Aug 23, 2024
- Last updated
- Aug 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN121933 | GA | Yes |
Practice location
445 Winn WayDecatur, GA 30030-1707
Phone 404-294-3745
Mailing address
445 Winn WayDecatur, GA 30030-1707
Phone 404-294-3745
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All 51 Nurse Practitioner providers in Decatur · All 6,698 providers in Decatur
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