Carmel Philistin Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Lovejoy, GA

NPI

1780472969

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

RN227780 (GA)

Sex

X

Sole proprietor

Yes

Enumerated

2025-04-28

Last updated

2025-04-28