Individual provider · Type 1 NPI

Basirat Oladunni Shomuyiwa

Psychiatric/Mental Health Nurse Practitioner · Johns Creek, GA

NPI number 1730907338 Active

Practice location

11340 Lakefield Dr Ste 200
Johns Creek, GA 30097-2456

Mailing address

1115 Herrington Rd
Lawrenceville, GA 30044-7503

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN136389 (GA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1730907338

Basirat Oladunni Shomuyiwa's National Provider Identifier is 1730907338, issued on Oct 1, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Johns Creek, GA. The record was last updated on Aug 20, 2025.