Provider Demographics
NPI:1477964559
Name:ADJEI, VINCENTIA ASANTEWAH (NP)
Entity Type:Individual
Prefix:MRS
First Name:VINCENTIA
Middle Name:ASANTEWAH
Last Name:ADJEI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6340 SUGARLOAF PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-4329
Mailing Address - Country:US
Mailing Address - Phone:470-281-8158
Mailing Address - Fax:
Practice Address - Street 1:6340 SUGARLOAF PKWY STE 200
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-4329
Practice Address - Country:US
Practice Address - Phone:470-281-8158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-12
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN201559363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner