Ebote Ngite Nnoko Valid NPI
Individual provider · Psychiatric/Mental Health Nurse Practitioner · Dallas, GA
- NPI
- 1346871696
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LP0808X
- License number
- RN243114 (GA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-01-27
- Last updated
- 2020-01-27
Practice location
108 Crescent Woode Dr
Dallas, GA 30157-5725
(770) 702-5945