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

Fakayatu Ibironke Agboola

Individual provider Registered Nurse · NPI 1306572821

Fakayatu Ibironke Agboola is a Registered Nurse in Lawrenceville, Georgia. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022

Practice location Address checks out

175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone: (678) 209-2396
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2021007170 (MO)

Record details

NPI number1306572821
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2022
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022
Mailing address2209 Swan Lake Ct, Grayson, GA 30017-4222

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