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Jason Fordyce, PMHNP-BC

NPI 1346816865 · on the registry since 2021

Practice

Address: 307 Old Stone Rd
Villa Rica, GA 30180
Phone: (770) 459-8799
Organisation at this address: Potters Hands Institute Llc
Mobolaji Shalom Oyebanjo, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

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: Male
Record last updated: 2021-07-08

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