Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OMAR KEVIN FULLER
Active Sole ProprietorOMAR KEVIN FULLER is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LOGANVILLE, Georgia. NPI 1932833050 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · LOGANVILLE, GA
Registration Details
- NPI Number
- 1932833050
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2022 (4.0513763413932 yrs)
- Last Updated
- Jul 14, 2022
- License
-
RN264780 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
487 THOMAS DRLOGANVILLE, GA, 300527262Browse GA providers · Browse ZIP 30052
- Phone
- 9735728260
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in LOGANVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| KENYATTA MERRIWEATHER | APRN | 1619228558 |
| CAROLINE WAITHAKA | APRN | 1609225192 |
| NATASHA GILES | PMHNP | 1598231458 |
| CHANTAE ALETHA BRYANT | PMH-NP | 1164063814 |
| STEPHANIE ABEL | — | 1811506272 |
| CHINARA SMITH | NURSE PRACTITIONER | 1407454366 |
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.