Individual provider · Type 1 NPI
Georgina Tung
Psychiatric/Mental Health Nurse Practitioner · Wakefield, MA
NPI number
1104481266
Active
Practice location
301 Edgewater Pl Ste 100
Wakefield, MA 01880-1281
Mailing address
207 Connors St
Fitchburg, MA 01420-7263
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2323510 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104481266
Georgina Tung's National Provider Identifier is 1104481266, issued on May 4, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wakefield, MA. The record was last updated on Jul 16, 2026.