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

Modupe Banjoh, RN

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1861015844

Modupe Banjoh, RN is a Child & Adolescent Psychiatric/Mental Health Registered Nurse in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone: (678) 209-2394
Show map & directions

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

Specialties & licences

Child & Adolescent Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0807X · Licence RN285748 (GA)

Record details

NPI number1861015844
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMay 25, 2020
Last updated in NPPESMay 25, 2020
Certification dateMay 25, 2020
Mailing address3165 Manor Ct, Snellville, GA 30078-2953

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