Individual provider · Type 1 NPI

Fallon Wortham

Psychiatric/Mental Health Nurse Practitioner · Fayetteville, GA

NPI number 1346010899 Active

Practice location

110 Braxton Ct
Fayetteville, GA 30214-1968

Mailing address

9 Pine Grove Cir
Newnan, GA 30263-2897

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X191643 (GA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1346010899

Fallon Wortham's National Provider Identifier is 1346010899, issued on Jan 5, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fayetteville, GA. The record was last updated on Jan 5, 2024.