ABLAVI AGOMESSOU APRN
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1164885778- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN
- Status
- Active
Contact & Location
- Address
- 881 IVYDALE LN, LAWRENCEVILLE, GA, 300457818
- Phone
- (404) 819-8701
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
Primary License: GA #42127
Nurse Practitioner, Family
License: GA #42127