Organization · Type 2 NPI
Icare Clinic & Medspa LLC
Psychiatric/Mental Health Nurse Practitioner · Decatur, GA
NPI number
1275124166
Active
Practice location
4580 Memorial Dr
Decatur, GA 30032-1447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1275124166
Icare Clinic & Medspa LLC's National Provider Identifier is 1275124166, issued on Feb 2, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Decatur, GA. The record was last updated on Jul 1, 2026.