Organization · Type 2 NPI
Clavicams Quality Healthcare Services
Psychiatric/Mental Health Nurse Practitioner · Dacula, GA
NPI number
1891532479
Active
Practice location
2451 Melton Common Drive
Dacula, GA 30019
Mailing address
710 Dacula Rd Ste 4A
Dacula, GA 30019-7014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1891532479
Clavicams Quality Healthcare Services's National Provider Identifier is 1891532479, issued on Jul 11, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dacula, GA. The record was last updated on Nov 11, 2025.