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NPI Code Detail

MEDICARE: FELICITAS NNENNA UWAGERIKPE

MEDICARE: FELICITAS NNENNA UWAGERIKPE
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 PractitionerRN208165GA
2363LF0000XFamily Nurse PractitionerRN208165GA

General Provider Information

NPI Number : 1326423112
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICITAS NNENNA UWAGERIKPE
Provider Business Mailing Address
First Line : 331 BOURNEMOUTH DR
Second Line :
City : SUWANEE
State : GA
Zip : 30024-7521
Country : US
Telephone Number : 678-520-4487
Fax Number :
Provider Business Practice Location Address
First Line : 240 MITCHELL BRIDGE RD
Second Line :
City : ATHENS
State : GA
Zip : 30606-2043
Country : US
Telephone Number : 706-389-6789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2015
Last Update Date : 11/01/2025

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Directions to “ FELICITAS NNENNA UWAGERIKPE ” Practice Location

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