BRENDA DIGIACOMO ANP-BC FNP-BC NPI 1295164085

NPI Information

NPI: 1295164085
Provider Name: BRENDA DIGIACOMO, ANP-BC, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
980 JOHNSON FERRY ROAD
SUITE 910
ATLANTA, GA
ZIP 30342
Phone: (404) 303-3750
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Brenda Digiacomo, ANP-BC, FNP-BC is a family nurse practitioner in Atlanta, GA. Brenda Digiacomo, ANP-BC, FNP-BC NPI is 1295164085. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

980 JOHNSON FERRY ROAD
SUITE 910
ATLANTA, GA
ZIP 30342
Phone: (404) 303-3750
Fax: (404) 252-4755

The enumeration date for this NPI number is 11/2/2013 and was last updated on 1/25/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	RN138898	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	138898	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20250I5973	MEDICARE PIN	GEORGIA
2	003146982C	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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