MRS. Imose Idubor, NP

NPI #1194466607 in Dacula, Georgia

Provider Information

NPI Number
1194466607
Entity Type
Individual
Name
MRS. Imose Idubor, NP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
NP
Enumeration Date
Apr 6, 2022
Last Updated
Apr 11, 2022

Practice Location

Address
1067 IVEY CHASE PL
City
Dacula
State
Georgia
ZIP Code
30019-7866
Phone
(678) 670-9626

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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