person
Mrs. Imose Idubor, NP
Psychiatric/Mental Health Nurse Practitioner in Dacula, Georgia
NPI 1194466607

Imose Idubor is a Psychiatric/Mental Health Nurse Practitioner based in Dacula, GA and is specialized in Psychiatric/Mental Health. Imose Idubor practices in Dacula, GA and has the professional credentials of NP. The NPI Number for Imose Idubor is 1194466607 and holds a License No. RN261495 (Georgia).

The current practice location address for Imose Idubor is 1067 Ivey Chase Pl, Dacula, GA and can be reached out via phone at 678-670-9626.

Location: 1067 Ivey Chase Pl, Dacula, GA, 30019-7866
person
Provider Profile Details
NPI Number
1194466607
Provider Name
Imose Idubor
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1067 Ivey Chase Pl, Dacula, GA, 30019-7866
Phone Number
678-670-9626
Fax Number
Provider Enumeration Date
04/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1067 Ivey Chase Pl
City
State
Zip
30019-7866
Phone Number
678-670-9626
Fax Number
person
Provider Business Mailing Address Details
Address
1067 Ivey Chase Pl
City
State
Zip
30019-7866
Phone Number
678-670-9626
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.
RN261495 (Georgia)
Definition
Definition to come...
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