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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1053198705

Falilat Bunmi Hambolu is a Nurse Practitioner in Lawrenceville, Georgia. Qualified in 2023, 3 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1615 Rivershyre Pkwy
Lawrenceville, GA 30043-6429
Phone: (678) 510-8749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN274940 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN274940 (GA)

Record details

NPI number1053198705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 14, 2023
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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