Individual provider · Type 1 NPI
Soummala Henry
Acute Care Nurse Practitioner · Atlanta, GA
NPI number
1629506571
Active
Practice location
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Mailing address
1181 Fountain Head Ct
Lawrenceville, GA 30043-4790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 210744 (GA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 210744 (GA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1629506571
Soummala Henry's National Provider Identifier is 1629506571, issued on May 23, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Atlanta, GA. The record was last updated on May 23, 2017.