Khadija Fofana
Khadija Fofana is a Nurse Practitioner in Somerset, New Jersey. Qualified in 2020, 6 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.
- Years since qualifying
- 6
- Licensed in
- NJ
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
122 Girard AveSomerset, NJ 08873-2417
Phone: (717) 341-8790
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 26NJ01045000 (NJ) |
|---|---|
| Intellectual & Developmental Disabilities Psychologist | Taxonomy 103TM1800X |
Record details
| NPI number | 1407413297 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 28, 2019 |
| Last updated in NPPES | November 7, 2022 |
| Certification date | November 7, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |