Organization · Type 2 NPI
Divine Access LLC
Psychiatric/Mental Health Nurse Practitioner · Suwanee, GA
NPI number
1902646292
Active
Practice location
167 Gilliflower Park
Suwanee, GA 30024-6456
Mailing address
990 Peachtree Industrial Blvd, P.o.box 938
Suwanee, GA 30024-9998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Suwanee
About NPI 1902646292
Divine Access LLC's National Provider Identifier is 1902646292, issued on May 25, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Suwanee, GA. The record was last updated on Jun 2, 2024.