GRACE FOMUNUNG, NURSE PRACTITIONER
Nurse Practitioner - Psychiatric/Mental Health
Active
Individual
NPI: 1679028575
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | RN201867 (GA) |
| Nurse Practitioner - Psychiatric/Mental Health | 363LP0808X | Yes | RN201867 (GA) |
Frequently Asked Questions
NPI 1679028575 is the National Provider Identifier for GRACE FOMUNUNG, NURSE PRACTITIONER, a Nurse Practitioner - Psychiatric/Mental Health provider located in Dacula, GA. This NPI was enumerated on August 20, 2016.
GRACE FOMUNUNG, NURSE PRACTITIONER practices at 3206 THIMBLEBERRY TRL, Dacula, GA 30019.
Quick Facts
- NPI
- 1679028575
- Type
- Individual
- Enumerated
- Aug 20, 2016
- Last Updated
- Nov 7, 2019
Nearby Providers
-
DR. GRAYSON GENTZEL, PT, D.P.T.
Physical Therapist - Geriatrics
-
DR. RONALD HART, MD
Family Medicine
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JOSEPH ROUW, OD, FAAO, FCOVD
Optometrist
-
MRS. NOREEN ZULAICA, P.T.
Physical Therapist
-
KELLY BALL, M.ED., CCC-SLP
Speech-Language Pathologist