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

GRACE TAMU FOMUNUNG, NURSE PRACTITIONER

Active

GRACE TAMU FOMUNUNG, NURSE PRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in DACULA, Georgia. NPI 1679028575 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · DACULA, GA

Registration Details

NPI Number
1679028575
Provider Type
Individual
Gender
Female
NPI Issued
Aug 20, 2016 (9.9601756552785 yrs)
Last Updated
Nov 7, 2019
Licenses
RN201867 (GA)
RN201867 (GA)

Practice Information

Address
3206 THIMBLEBERRY TRL
DACULA, GA, 300197299
Browse GA providers · Browse ZIP 30019
Phone
4048197338

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

Name Credential NPI
SHAKERA KATHLEEN SNELLING FNP-C, PMHNP-BC 1619464484
ALICIA DANIELLE DOSS-PIERRE PMHNP, MSN, RN-BC 1538830294
MR. JONATHAN RISH MSN, APRN, PMHNP-BC 1396497236
MRS. IMOSE IDUBOR NP 1194466607
BRANDY DOWDY ARNP, PMHNP-BC 1215715743
CORDELIA JOHNBULL PMHNP 1326800624
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.