MRS. IESHA DOMINIQUE VIBERT PMHNP-BC NPI 1548926041

NPI Information

NPI: 1548926041
Provider Name: MRS. IESHA DOMINIQUE VIBERT, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1373 CLEVELAND AVE
ATLANTA, GA
ZIP 30344
Phone: (678) 573-2970
Get Directions

MRS. Iesha Dominique Vibert, PMHNP-BC is a psychiatric/mental health nurse practitioner in Atlanta, GA. MRS. Iesha Dominique Vibert, PMHNP-BC NPI is 1548926041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1373 CLEVELAND AVE
ATLANTA, GA
ZIP 30344-423
Phone: (678) 573-2970

The NPI 1548926041 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/10/2021 and was last updated on 7/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN244291	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »