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

Fatmata Fofanah, PMHNP

Individual provider Nurse Practitioner · NPI 1780546705

Fatmata Fofanah, PMHNP is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

4320 Bland Rd Ste 104
Raleigh, NC 27609-6125
Phone: (301) 613-5042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2025047788 (NC)

Record details

NPI number1780546705
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedNovember 28, 2025
Last updated in NPPESNovember 28, 2025
Certification dateNovember 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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