Individual provider · Type 1 NPI

Jacqueline N. Mbuyongha, RN

Adult Psychiatric/Mental Health Registered Nurse · Lawrenceville, GA

NPI number 1457937997 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Mailing address

4039 Elm Trace Dr
Loganville, GA 30052-5941

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse Primary 163WP0809XRN191886 (GA)

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1457937997

Jacqueline N. Mbuyongha, RN's National Provider Identifier is 1457937997, issued on Mar 23, 2021. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Lawrenceville, GA. The record was last updated on Mar 23, 2021.