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NPI Code Detail

MEDICARE: JULIET OWUSU PMHNP-BC

MEDICARE:   JULIET  OWUSU  PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner318481GA

General Provider Information

NPI Number : 1235780065
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIET OWUSU PMHNP-BC
Provider Business Mailing Address
First Line : 3015 LEXINGTON RD
Second Line :
City : ATHENS
State : GA
Zip : 30605-2491
Country : US
Telephone Number : 347-734-3132
Fax Number :
Provider Business Practice Location Address
First Line : 3015 LEXINGTON RD
Second Line :
City : ATHENS
State : GA
Zip : 30605-2491
Country : US
Telephone Number : 347-734-3132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2019
Last Update Date : 09/29/2023

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Directions to “ JULIET OWUSU PMHNP-BC” Practice Location

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