Individual provider · Type 1 NPI

Esohe Grace Idusuyi, NURSE PRACTITIONER

Family Nurse Practitioner · Acworth, GA

NPI number 1992080436 Active

Practice location

4944 September Ct NW
Acworth, GA 30102-7915

Call (770) 975-9538 Map

Mailing address

4944 September Court
Acworth, GA 30102

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN144525NP (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1992080436

Esohe Grace Idusuyi, NURSE PRACTITIONER's National Provider Identifier is 1992080436, issued on Oct 17, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Acworth, GA. The record was last updated on Oct 17, 2011.