JUSTIN VASSELL NPI 1114575859

NPI Information

NPI: 1114575859
Provider Name: JUSTIN VASSELL
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1903 PHOENIX BOULEVARD
SUITE 200
COLLEGE PARK, GA
ZIP 30349
Phone: (678) 335-9010
Get Directions

Justin Vassell is a psychiatric/mental health registered nurse in College Park, GA. Justin Vassell NPI is 1114575859. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1903 PHOENIX BOULEVARD
SUITE 200
COLLEGE PARK, GA
ZIP 30349
Phone: (678) 335-9010
Fax: (678) 229-9906

The enumeration date for this NPI number is 8/27/2019 and was last updated on 8/27/2019.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN169074	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1881848174	OTHER	GEORGIA	PSYCHIATRY

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

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