Active NPIIndividual providerSole proprietor

Khadija Fofana

Nurse Practitioner, Psych/Mental Health in Somerset, New Jersey

NPI Number1407413297
Practice location
122 Girard Ave, Somerset, NJ 08873-2417
Fax
—
Last updated
November 7, 2022

Khadija Fofana is a Nurse Practitioner, Psych/Mental Health based in Somerset, NJ. Khadija Fofana practices in Somerset, NJ. The NPI Number for Khadija Fofana is 1407413297 and holds a License No. 26NJ01045000 (NJ). The current practice location address for Khadija Fofana is 122 Girard Ave, Somerset, NJ 08873-2417 and can be reached out via phone at 717-341-8790.

Provider Profile Details

NPI Number
1407413297
Provider Name
Khadija Fofana
Provider Entity Type
Individual
Gender
Female
Address
122 Girard Ave, Somerset, NJ 08873-2417
Phone Number
717-341-8790
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
May 28, 2019
Last Update Date
November 7, 2022
Certification Date
November 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
122 Girard Ave
Somerset, NJ 08873-2417
Zip
08873-2417
Phone Number
717-341-8790
Somerset, NJ 08873Get directions →

Provider Business Mailing Address Details

Address
81 Crooked Stick RD
Jackson, NJ 08527-4032
City
Jackson
State
NJ
Zip
08527-4032
Phone Number
609-916-6428

License Information

License Number (2)
26NJ01045000
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Khadija Fofana?

The NPI number of Khadija Fofana is 1407413297. It was assigned on May 28, 2019 and is currently active in the NPPES registry.

What is the specialty of Khadija Fofana?

Khadija Fofana is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ01045000.

Where does Khadija Fofana practice?

The practice location is 122 Girard Ave, Somerset, NJ 08873-2417. The office can be reached at 717-341-8790 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407413297 directly on the NPPES registry website.

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