Organization · Type 2 NPI
Micgra Telehealth LLLP
Psychiatric/Mental Health Nurse Practitioner · Dallas, GA
NPI number
1013548981
Active
Practice location
301 White Ingram Pkwy Ste C
Dallas, GA 30132-5066
Mailing address
301 W I Pkwy Ste C
Dallas, GA 30132-5066
Other practice locations
- 555 Andover Park W Ste 200, Tukwila, WA 98188-3379 · (800) 867-1024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Dallas
About NPI 1013548981
Micgra Telehealth LLLP's National Provider Identifier is 1013548981, issued on Jan 30, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dallas, GA. The record was last updated on Feb 4, 2026.