NIMBA INTEGRATIVE PRACTICE LLC NPI 1902591472

NPI Information

NPI: 1902591472
Provider Name: NIMBA INTEGRATIVE PRACTICE LLC

Doing Business As: NIMBA INTEGRATIVE PRACTICE LLC STONE MOUNTAIN

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
5300 MEMORIAL DR STE 101
STONE MOUNTAIN, GA
ZIP 30083
Phone: (470) 918-9719
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NIMBA INTEGRATIVE PRACTICE LLC is a psychiatric/mental health nurse practitioner in Stone Mountain, GA. NIMBA INTEGRATIVE PRACTICE LLC NPI is 1902591472. The provider is registered as an organization entity type.
The provider Is Doing Business As Nimba Integrative Practice Llc Stone Mountain.

The provider's business location address is:

5300 MEMORIAL DR STE 101
STONE MOUNTAIN, GA
ZIP 30083-154
Phone: (470) 918-9719

The provider's authorized official is Asata Kamara Aprn .
The authorized official title is Owner and has the following contact phone number (470) 918-9719.

The enumeration date for this NPI number is 4/10/2023 and was last updated on 10/11/2023.

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	Primary
1	261QP2300X	Clinic/Center	Primary Care	No
2	261QM1300X	Clinic/Center	Multi-Specialty	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	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

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