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Ebunoluwa Mikie

Nurse Practitioner, Psych/Mental Health in Griffin, GA. Individual provider (NPI-1).

NPI number1124669403
StatusActive
Last updated in NPPESOct 3, 2026

Details

NPI
1124669403
Entity type
Individual (NPI-1)
Name
Ebunoluwa Mikie
Sex
Female
Sole proprietor
No
Enumeration date
Oct 8, 2019
Certification date
Oct 3, 2026
Last updated
Oct 3, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthRN230157GAYes

Practice location

410 E Taylor St Ste K2
Griffin, GA 30223-3444

Phone 770-678-0038 · Fax 770-796-7726

Mailing address

164 Al Jennah Blvd
Locust Grove, GA 30248-3753

Phone 770-678-0038 · Fax 770-796-7726

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Other Psychiatric/Mental Health Nurse Practitioner providers in Griffin, GA

All 16 Psychiatric/Mental Health Nurse Practitioner providers in Griffin · All 1,121 providers in Griffin

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