Individual provider · Type 1 NPI
Lysette Nkongyo, RN, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · South Bloomfield, OH
NPI number
1538063094
Active
Practice location
276 Dowler Dr
South Bloomfield, OH 43103-9241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN.CNP.0043672 (OH) |
| Registered Nurse | 163W00000X | RN.561844 (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1538063094
Lysette Nkongyo, RN, APRN, PMHNP-BC's National Provider Identifier is 1538063094, issued on Oct 6, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in South Bloomfield, OH. The record was last updated on Oct 15, 2026.