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Search › Georgia › Psychiatric/Mental Health Nurse Practitioner

Tina Ezeolisah, DNP, PMHNP-BC

NPI 1306299268 · on the registry since 2016 · sole proprietor

Practice

Address
3355 Mcdaniel Rd
Apt 17401
Duluth, GA 30096
Phone
(678) 704-3593
Clinicians at this address
7

Additional practice sites

  • 940 Concord Rd Se, Smyrna, GA
  • 1814 Clairmont Rd, Decatur, GA

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
Psychiatric/Mental Health Nurse Practitioner
Psychiatric/Mental Health Nurse Practitioner
Registered Nurse
Psychiatric/Mental Health Nurse Practitioner
Licence states on file
MA, CO, GA, RI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-02

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