MEDICARE: MR. EJOVWOKE UGHWANOGHO

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN164479	GA

General Provider Information

NPI Number	:	1669321477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EJOVWOKE UGHWANOGHO

Provider Business Mailing Address
First Line	:	680 OLD JOHNSON RD
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30045-6251
Country	:	US
Telephone Number	:	470-796-1471
Fax Number	:	470-796-1471

Provider Business Practice Location Address
First Line	:	680 OLD JOHNSON RD
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30045-6251
Country	:	US
Telephone Number	:	470-796-1471
Fax Number	:	470-796-1471

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

Similar Medicare Providers

1922850528 — MRS. VERONICA I OHWOWHIAGBESE APRN
Practice Location Address:

680 OLD JOHNSON RD
LAWRENCEVILLE, GA
30045-6251

Practice Phone: 770-335-1202
Practice Fax:

1992654271 — MRS. CORONA ROBINSON PMHNP
Practice Location Address:

2757 TRIBBLE MILL RD
LAWRENCEVILLE, GA
30045-8627

Practice Phone: 470-595-5404
Practice Fax:

1578428264 — MINDING MY HEALTH SOLUTIONS LLC
Practice Location Address:

1571 GIN BLOSSOM CIR
LAWRENCEVILLE, GA
30045-6748

Practice Phone: 470-291-5650
Practice Fax:

1285593061 — BINUVIS LLC
Practice Location Address:

1735 IVEY POINTE CT
LAWRENCEVILLE, GA
30045-2650

Practice Phone: 678-468-1892
Practice Fax:

1740875665 — ARCHAIE HEALTH SOLUTIONS LLC
Practice Location Address:

3153 SUGARLOAF PKWY STE 205
LAWRENCEVILLE, GA
30045-9489

Practice Phone: 470-403-4004
Practice Fax: 470-394-4784

1548493471 — JAMESON TOUSSAINT PT
Practice Location Address:

3153 SUGARLOAF PKWY STE 205
LAWRENCEVILLE, GA
30045-9489

Practice Phone: 470-403-4004
Practice Fax: 470-394-4784

Directions to “ MR. EJOVWOKE UGHWANOGHO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.