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

Faniska Massillon

Individual provider Family Nurse Practitioner · NPI 1093338733

Faniska Massillon is a Family Nurse Practitioner in Norcross, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in California, Florida and New York.

Licensed in
CA, FL, NY
In the registry since
2020
Specialties on file
3
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 920095
Norcross, GA 30010-0095
Phone: (407) 308-9573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2100 Riveredge Pkwy, Atlanta, GA 30328-4693 — (888) 445-8745

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F346372-01 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95030305 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11006594 (FL)

Record details

NPI number1093338733
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 27, 2020
Last updated in NPPESJanuary 26, 2025
Certification dateJanuary 17, 2025
Mailing addressPo Box 920095, Norcross, GA 30010-0095

Other providers in Norcross