Individual provider · Type 1 NPI
Omar Kevin Fuller
Psychiatric/Mental Health Nurse Practitioner · Loganville, GA
NPI number
1932833050
Active
Practice location
487 Thomas Dr
Loganville, GA 30052-7262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN264780 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1932833050
Omar Kevin Fuller's National Provider Identifier is 1932833050, issued on Jul 14, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Loganville, GA. The record was last updated on Jul 14, 2022.