MEDICARE: ORUNOR ESIN PMHNP

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	RN281922	GA

General Provider Information

NPI Number	:	1902647183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORUNOR ESIN PMHNP

Provider Business Mailing Address
First Line	:	990 HAMMOND DR STE 600
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-5510
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	990 HAMMOND DR STE 600
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-5510
Country	:	US
Telephone Number	:	678-861-1832
Fax Number	:	678-585-2259

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

Provider Enumeration Date	:	06/03/2024
Last Update Date	:	09/18/2025

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