Search › Georgia › Psychiatric/Mental Health Nurse Practitioner
Imose Idubor, NP
NPI 1194466607 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1067 Ivey Chase Pl
Dacula, GA 30019 - Phone
- (678) 670-9626
Registry record
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia