Provider Demographics
NPI:1780477539
Name:KAMARA, FATMATA ABDULAI (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:FATMATA
Middle Name:ABDULAI
Last Name:KAMARA
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6131 JAMES MADISON PKWY
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-5351
Mailing Address - Country:US
Mailing Address - Phone:703-660-4676
Mailing Address - Fax:
Practice Address - Street 1:6131 JAMES MADISON PKWY
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-5351
Practice Address - Country:US
Practice Address - Phone:703-660-4676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024193478363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty