Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

YANIQUE WEDDERBURN
NPI 1639075153
Nurse Practitioner - Family in Newnan, GA

Q: What is Yanique Wedderburn's NPI number?

The NPI number for Yanique Wedderburn is 1639075153. It was assigned to this individual provider in the NPPES registry on October 20, 2026.

Q: What is Yanique Wedderburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 20, 2026

1111 GA-34 STE 7, NEWNAN, GA 30265(770) 783-2001 Get Directions Write a Review

NPPES record added: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Yanique Wedderburn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YANIQUE WEDDERBURN (NPI 1639075153) is an individual family provider in Newnan, Georgia, licensed in Georgia (NP200115) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1639075153

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameYANIQUE WEDDERBURN

Location Address1111 GA-34 STE 7Newnan, GA 30265

Mailing Address1111 Ga-34 Ste 7Newnan, GA 30265 · (770) 783-2001

Phone(770) 783-2001

Sole ProprietorNo

Enumeration DateOctober 20, 2026

NPPES CertifiedOctober 15, 2026

✔ NPI 1639075153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · NP200115

1111 GA-34 STE 7, Newnan, GA 30265

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yanique Wedderburn's NPI number?

The NPI number for Yanique Wedderburn is 1639075153. It was assigned to this individual provider in the NPPES registry on October 20, 2026.

Where is Yanique Wedderburn located?

Yanique Wedderburn practices at 1111 Ga-34 Ste 7, Newnan, GA 30265. The listed phone number is (770) 783-2001.

What is Yanique Wedderburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Yanique Wedderburn was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.