Individual provider · Type 1 NPI

Grace Nwachukwu Ibeanusi, NP

Family Nurse Practitioner · Mcdonough, GA

NPI number 1366776924 Active

Practice location

896 Highway 81 E
Mcdonough, GA 30252-2914

Mailing address

PO Box 102038
Atlanta, GA 30368-2038

Other practice locations

  • 195 Fairview Rd, Ellenwood, GA 30294-2722 · (770) 507-0112

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN118753 (GA)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1366776924

Grace Nwachukwu Ibeanusi, NP's National Provider Identifier is 1366776924, issued on Sep 29, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mcdonough, GA. The record was last updated on Mar 29, 2021.