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

Mafon Fomujang, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1013442102

Mafon Fomujang, NURSEPRACTITIONER is a Nurse Practitioner in Austin, Texas. Qualified in 2022, 4 years ago. Practices with Brave Health Medical Group, PA, a 94-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio and Texas.

Years since qualifying
4
Licensed in
OH, TX
In the registry since
2017
Specialties on file
3

Practice location Address checks out

2911 Medical Arts St Ste 10
Austin, TX 78705-3302
Phone: (866) 473-0663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1930 Fulton Rd Nw # 103, Canton, OH 44709-3526 — (330) 956-5936
  • 13422 Kinsman Rd, Cleveland, OH 44120-4410 — (866) 536-6038
  • 12395 McCracken Rd Ste A, Garfield Heights, OH 44125-2946 — (216) 587-6727
  • 10 Salt Creek Run, Peninsula, OH 44264-9461 — (405) 549-6290

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1048371 (TX)
Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0808X · Licence 023666 (OH)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN.CNP.023666 (OH)

Record details

NPI number1013442102
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedApril 26, 2017
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Brave Health Medical Group, Pa — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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