person
Ms. Jelya Ingrid Fatawu, PMHMP-BC
Psychiatric/Mental Health Nurse Practitioner in Wentzville, Missouri
NPI 1184331902

Jelya Ingrid Fatawu is a Psychiatric/Mental Health Nurse Practitioner based in Wentzville, MO and is specialized in Psychiatric/Mental Health. Jelya Ingrid Fatawu practices in Wentzville, MO and has the professional credentials of PMHMP-BC. The NPI Number for Jelya Ingrid Fatawu is 1184331902 and holds a License No. 2022035166 (Missouri).

The current practice location address for Jelya Ingrid Fatawu is 4 Liberty Grove Ct, Wentzville, MO and can be reached out via phone at 216-246-5697.

Location: 4 Liberty Grove Ct, Wentzville, MO, 63385-7188
person
Provider Profile Details
NPI Number
1184331902
Provider Name
Jelya Ingrid Fatawu
Credential
PMHMP-BC
Provider Entity Type
Individual
Gender
Female
Address
4 Liberty Grove Ct, Wentzville, MO, 63385-7188
Phone Number
216-246-5697
Fax Number
Provider Enumeration Date
11/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4 Liberty Grove Ct
City
State
Zip
63385-7188
Phone Number
216-246-5697
Fax Number
person
Provider Business Mailing Address Details
Address
4 Liberty Grove Ct
City
State
Zip
63385-7188
Phone Number
216-246-5697
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
2022035166 (Missouri)
Definition
Definition to come...
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