DONICIA RAILEY MABO FNP NPI 1962072017

NPI Information

NPI: 1962072017
Provider Name: DONICIA RAILEY MABO, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1114 GA HIGHWAY 96 STE D3-D5
KATHLEEN, GA
ZIP 31047
Phone: (478) 910-1090
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Donicia Railey Mabo, FNP is a family nurse practitioner in Kathleen, GA. Donicia Railey Mabo, FNP NPI is 1962072017. 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:

1114 GA HIGHWAY 96 STE D3-D5
KATHLEEN, GA
ZIP 31047-111
Phone: (478) 910-1090
Fax: (478) 910-1091

The NPI 1962072017 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2021 and was last updated on 5/17/2023.

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	363LF0000X	Nurse Practitioner	Family	RN242109	GEORGIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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