Individual provider · Type 1 NPI
Jelya Ingrid Fatawu, PMHMP-BC
Psychiatric/Mental Health Nurse Practitioner · Wentzville, MO
NPI number
1184331902
Active
Practice location
4 Liberty Grove Ct
Wentzville, MO 63385-7188
Fax (314) 216-3851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2022035166 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1184331902
Jelya Ingrid Fatawu, PMHMP-BC's National Provider Identifier is 1184331902, issued on Nov 1, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wentzville, MO. The record was last updated on Apr 7, 2025.