Search › Georgia › Psychiatric/Mental Health Nurse Practitioner
Omar Fuller
NPI 1932833050 · on the registry since 2022 · sole proprietor
Practice
- Address
- 487 Thomas Dr
Loganville, GA 30052 - Phone
- (973) 572-8260
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
- 2022-07-14
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