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

Farduwsa Hassan

Individual provider Family Nurse Practitioner · NPI 1417623471

Farduwsa Hassan is a Nurse Practitioner in Hebron, Kentucky. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2021

Practice location Address checks out

2940 Hebron Park Dr Ste 101
Hebron, KY 41048-9535
Phone: (404) 934-0150
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 3016548 (KY)

Record details

NPI number1417623471
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2021
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hebron