Individual provider · Type 1 NPI
Estacy Porter, DNP, FNP-C, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Evans, GA
NPI number
1609333509
Active
Practice location
5121 Washington Rd
Evans, GA 30809-6448
Mailing address
6231 Freedom Cir Ste 2
Grovetown, GA 30813-1213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | 53-78383-111 (KS) |
| Family Nurse Practitioner | 363LF0000X | RN200693 (GA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN200693 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1609333509
Estacy Porter, DNP, FNP-C, PMHNP-BC's National Provider Identifier is 1609333509, issued on Feb 27, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Evans, GA. The record was last updated on Jul 17, 2025.