Individual provider · Type 1 NPI

Falilat Bunmi Hambolu

Psychiatric/Mental Health Nurse Practitioner · Lawrenceville, GA

NPI number 1053198705 Active

Practice location

1615 Rivershyre Pkwy
Lawrenceville, GA 30043-6429

Call (678) 510-8749 Map

Mailing address

3073 Panthersville Rd
Decatur, GA 30034-3828

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN274940 (GA)
Registered Nurse 163W00000XRN274940 (GA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1053198705

Falilat Bunmi Hambolu's National Provider Identifier is 1053198705, issued on Sep 14, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 26, 2025.