Individual provider · Type 1 NPI

Faith Ifeanyi Enwefah, NURSE PRACTITIONER

Psychiatric/Mental Health Nurse Practitioner · Lawrenceville, GA

NPI number 1972204766 Active

Practice location

113 S Perry St Ste 206
Lawrenceville, GA 30046-4811

Fax (185) 532-5402

Mailing address

72 Valley View Trl
Dallas, GA 30132-5465

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN225483 (GA)

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

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About NPI 1972204766

Faith Ifeanyi Enwefah, NURSE PRACTITIONER's National Provider Identifier is 1972204766, issued on Mar 17, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lawrenceville, GA. The record was last updated on May 18, 2026.