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

Olabisi Fashuyi Fafore

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1841017944

Olabisi Fashuyi Fafore is a Nurse Practitioner in Johns Creek, Georgia. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Georgia and New Jersey.

Years since qualifying
2
Licensed in
GA, NJ
In the registry since
2024
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11340 Lakefield Dr
Johns Creek, GA 30097-1714
Phone: (470) 242-6344
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 26NJ15240800 (NJ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN297527 (GA)

Record details

NPI number1841017944
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 21, 2024
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Johns Creek