Individual provider · Type 1 NPI
Tina Chinwenwa Ezeh
Psychiatric/Mental Health Clinical Nurse Specialist · Douglasville, GA
NPI number
1740996222
Active
Practice location
5945 Azalea Ridge Dr
Douglasville, GA 30135-5590
Mailing address
PO Box 6296
Douglasville, GA 30154-0022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0808X | RN259954 (GA) |
Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
Other psychiatric/mental health clinical nurse specialist providers in Douglasville
About NPI 1740996222
Tina Chinwenwa Ezeh's National Provider Identifier is 1740996222, issued on Jan 27, 2023. The primary taxonomy on file is Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), and the practice location is in Douglasville, GA. The record was last updated on Aug 26, 2025.