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IDARA AJALA
Psychiatric/Mental Health Nurse Practitioner
NPI: 1740826643IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse Practitioner — Family
Code: 363LF0000X
37662(TN)201317(ND)5021546(NC)121412(WV)AC007091(MD)014096(CT)26NJ15319800(NJ)F344819-01(NY)29580(SC)CP003464(SD)0024192081(VA)SP032801(PA)344819(NY)1616433(WI)
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
GAA-NP001676(GA)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2019
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Contact & Hours
- Address
- 2782 N COBB PKWY
KENNESAW, GA 30152 - Phone
- (866) 389-2727
Quick Facts
- NPI
- 1740826643
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 15
- Locations
- 1
- Years in Practice
- 7
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