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GRACE FOMUNUNG, NURSE PRACTITIONER
NURSE PRACTITIONER
NPI: 1679028575IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
RN201867(GA)
Psychiatric/Mental Health Nurse PractitionerPrimary
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
RN201867(GA)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 3206 THIMBLEBERRY TRL
DACULA, GA 30019 - Phone
- (404) 819-7338
Quick Facts
- NPI
- 1679028575
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 7
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