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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TINA BETTY EZEOLISAH, DNP, PMHNP-BC

Active Sole Proprietor

DR. TINA BETTY EZEOLISAH, DNP, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in DULUTH, Georgia. NPI 1306299268 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · DULUTH, GA

Registration Details

NPI Number
1306299268
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2016 (9.8963904846916 yrs)
Last Updated
Dec 2, 2022
Licenses
RN2345725 (MA)
C-APN.0002066-C-NP (CO)
RN 217223 (GA)
05031 (RI)
RN217223 (GA)
Sole Proprietor
Yes

Practice Information

Address
3355 MCDANIEL RD
APT 17401
DULUTH, GA, 300968613
Browse GA providers · Browse ZIP 30096
Phone
6787043593
Additional Specialty
Registered Nurse

Other Psychiatric/Mental Health Nurse Practitioner Providers in DULUTH, GA

Name Credential NPI
JAGRUTI CHAUDHARI PMHNP 1992245591
CHINYERE OLIVIA OKONKWO PMHNP 1467954537
OMONIYI FATAI MUTIU PMHNP 1396247359
TARA S LYNCH PMHNP-BC 1548728579
KARINA TAN LYDIA PMHNP 1831659317
SHARON MCLEAN 1699311787
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.