Individual provider · Type 1 NPI
Geraldine Odujole
Psychiatric/Mental Health Nurse Practitioner · Lawrenceville, GA
NPI number
1548924970
Active
Practice location
175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Mailing address
439 Wynbrooke Pkwy
Stone Mountain, GA 30087-4765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN303203 (GA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN303203 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1548924970
Geraldine Odujole's National Provider Identifier is 1548924970, issued on Oct 22, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lawrenceville, GA. The record was last updated on Aug 6, 2025.