Individual provider · Type 1 NPI
Ireta Favors, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Athens, GA
NPI number
1003488958
Active
Practice location
250 Bray St
Athens, GA 30601-2203
Fax (678) 671-8489
Mailing address
1575 Lawrenceville Hwy Ste K
Lawrenceville, GA 30044-2007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN296873 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
45 other providers at this address
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- Ashley Leigh Smith, RNRegistered Nurse Athens, GA NPI 1962093096
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About NPI 1003488958
Ireta Favors, PMHNP's National Provider Identifier is 1003488958, issued on Jul 12, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Athens, GA. The record was last updated on Feb 20, 2024.