Individual provider · Type 1 NPI
Luciana Prophet, PMHNP-C
Psychiatric/Mental Health Nurse Practitioner · Grovetown, GA
NPI number
1114884269
Active
Practice location
900 Chesford Dr
Grovetown, GA 30813-0497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 87800 (SC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114884269
Luciana Prophet, PMHNP-C's National Provider Identifier is 1114884269, issued on Jan 8, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grovetown, GA. The record was last updated on Jan 9, 2026.