Individual provider · Type 1 NPI
Justin Vassell
Psychiatric/Mental Health Registered Nurse · College Park, GA
NPI number
1114575859
Active
Practice location
1903 Phoenix Boulevard, Suite 200
College Park, GA 30349
Fax (678) 229-9906
Mailing address
1903 Phoenix Blvd Ste 200
College Park, GA 30349-5700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | RN169074 (GA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
Other psychiatric/mental health registered nurse providers in College Park
About NPI 1114575859
Justin Vassell's National Provider Identifier is 1114575859, issued on Aug 27, 2019. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in College Park, GA. The record was last updated on Aug 27, 2019.