Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benaissa Kaddour Djebbar

Individual provider Family Nurse Practitioner · NPI 1114200029

Benaissa Kaddour Djebbar is a Family Nurse Practitioner in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011

Practice location Address checks out

3405 Mike Padgett Hwy East Central Regional Hospital -Forensic Unit
Augusta, GA 30906-3815
Phone: (706) 792-7073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN 204732 (GA)

Record details

NPI number1114200029
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 27, 2011
Last updated in NPPESSeptember 27, 2011
Mailing address2060 Dundee Way, Grovetown, GA 30813-8124

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