Individual provider · Type 1 NPI
Tewodros Negassa
Psychiatric/Mental Health Nurse Practitioner · Snellville, GA
NPI number
1124820071
Active
Practice location
4440 Riders Ridge Trl
Snellville, GA 30039-8580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN288423 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1124820071
Tewodros Negassa's National Provider Identifier is 1124820071, issued on Mar 24, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Snellville, GA. The record was last updated on Mar 24, 2025.