TINA BETTY EZEOLISAH

DULUTH, GA
NPI1306299268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN217223)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MA  RN2345725)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO  C-APN.0002066-C-NP)
163W00000X Registered Nurse
(Licence: GA  RN 217223)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: RI  05031)
Enumeration Date2016-07-15
Last Update Date2022-12-02
Business Address
Dr. TINA BETTY EZEOLISAH DNP, PMHNP-BC
3355 MCDANIEL RD APT 17401
DULUTH, GA 30096-8613
Phone number: 678-704-3593
Mailing Address
Dr. TINA BETTY EZEOLISAH DNP, PMHNP-BC
1814 CLAIRMONT RD
DECATUR, GA 30033-3405
Phone number: 404-636-1457