Individual provider · Type 1 NPI

Evumena Ese Mukoro, FNP

Nurse Practitioner · Lawrenceville, GA

NPI number 1356050462 Active

Practice location

595 Hurricane Shoals Rd NW
Lawrenceville, GA 30046-8761

Mailing address

595 Hurricane Shoals Rd NW Ste 100
Lawrenceville, GA 30046-8762

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X265269 (GA)
Nurse Practitioner 363L00000XRN265269 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1356050462

Evumena Ese Mukoro, FNP's National Provider Identifier is 1356050462, issued on Nov 17, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Feb 16, 2023.