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

Mrs. Stephanie Nichole Mukangu, FNP

Individual provider Family Nurse Practitioner · NPI 1073193652

Mrs. Stephanie Nichole Mukangu, FNP is a Nurse Practitioner in Smyrna, Georgia. Qualified in 2019, 7 years ago. Practices with Southeast Medical Group, PC, a 138-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2994 Atlanta Rd SE
Smyrna, GA 30080-3655
Phone: (770) 435-2178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4300 Paces Ferry Rd Se, Atlanta, GA 30339-5703 — (770) 433-9437

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN293669 (GA)

Record details

NPI number1073193652
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 8, 2021
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southeast Medical Group, P.C. — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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