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Grace Fomunung, NURSE PRACTITIONER
NPI 1679028575 · on the registry since 2016
Practice
- Address
- 3206 Thimbleberry Trl
Dacula, GA 30019 - Phone
- (404) 819-7338
- Organisation at this address
- Jehovahs Behavioral Care Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Also registered as
- Registered Nurse
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-07
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