Individual provider · Type 1 NPI
Maxine Fomunung
Psychiatric/Mental Health Nurse Practitioner · Woodstock, GA
NPI number
1225802168
Active
Practice location
409 Old Boring Ln
Woodstock, GA 30189-2495
Fax (770) 928-7558
Mailing address
3206 Thimbleberry Trl
Dacula, GA 30019-7299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN291792 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
19 other providers at this address
- Cherokee Center for Change, IncProfessional Counselor Woodstock, GA NPI 1285961466
- Adrienne Stout Warnken, LPCProfessional Counselor Woodstock, GA NPI 1487540191
- Ailsa CruickshankClinical Social Worker Woodstock, GA NPI 1750153888
- Alicia Gibson Davis, LPCProfessional Counselor Woodstock, GA NPI 1528341930
- Andries Matthys Liebenberg, LPCProfessional Counselor Woodstock, GA NPI 1790606499
- Angelina Sarah DodsonProfessional Counselor Woodstock, GA NPI 1588354393
- Brenda Norton Hall, LPCProfessional Counselor Woodstock, GA NPI 1184346918
- Brianna Wiseman, LPCProfessional Counselor Woodstock, GA NPI 1083485940
- Catalina Laurenzano, M.A, LCPCMental Health Counselor Woodstock, GA NPI 1780988733
- Christine M. SweenyCounselor Woodstock, GA NPI 1518790096
- Elizabeth Shaw, LCSWClinical Social Worker Woodstock, GA NPI 1326686643
- Ita G. DoreProfessional Counselor Woodstock, GA NPI 1427374255
Other psychiatric/mental health nurse practitioner providers in Woodstock
- Samantha Pruitt, PMHNP-BC, FNP-BCPsychiatric/Mental Health Nurse Practitioner Woodstock, GA NPI 1053876391
- Jason Edward Watts, PMHNPPsychiatric/Mental Health Nurse Practitioner Woodstock, GA NPI 1083171326
- Jacquelyne R. Bodea, PMHNP-BC, CNMPsychiatric/Mental Health Nurse Practitioner Woodstock, GA NPI 1225100118
- Tatiana Chantal MomperoussePsychiatric/Mental Health Nurse Practitioner Woodstock, GA NPI 1285570945
- Matthew Dustin DowdyPsychiatric/Mental Health Nurse Practitioner Woodstock, GA NPI 1295382125
- Meah Nicole McCray, APRN-NPPsychiatric/Mental Health Nurse Practitioner Woodstock, GA NPI 1326676438
- Andrew Scott Daniel, PMHNPPsychiatric/Mental Health Nurse Practitioner Woodstock, GA NPI 1558095497
- Justin Clint McPeak, NPPsychiatric/Mental Health Nurse Practitioner Woodstock, GA NPI 1609254051
About NPI 1225802168
Maxine Fomunung's National Provider Identifier is 1225802168, issued on Nov 10, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Woodstock, GA. The record was last updated on Mar 18, 2025.