Jason Fordyce, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Villa Rica, GA. Individual provider (NPI-1).
NPI number1346816865
StatusActive
Last updated in NPPESJul 8, 2021
Details
- NPI
- 1346816865
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jason Fordyce
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2021
- Certification date
- Jul 8, 2021
- Last updated
- Jul 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN223272 | GA | Yes |
Practice location
307 Old Stone RdVilla Rica, GA 30180-1214
Phone 770-459-8799
Mailing address
307 Old Stone RdVilla Rica, GA 30180-1214
Phone 770-459-8799
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Other Psychiatric/Mental Health Nurse Practitioner providers in Villa Rica, GA
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All 28 Psychiatric/Mental Health Nurse Practitioner providers in Villa Rica · All 569 providers in Villa Rica
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