Ilako Chrystelle Agbatchi-Houedan, NP
Nurse Practitioner in Augusta, GA. Individual provider (NPI-1).
NPI number1922693134
StatusActive
Last updated in NPPESJan 10, 2023
Details
- NPI
- 1922693134
- Entity type
- Individual (NPI-1)
- Name
- Ilako Chrystelle Agbatchi-Houedan
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2021
- Certification date
- Jan 10, 2023
- Last updated
- Jan 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN279629 | GA | Yes |
Practice location
1120 15th StAugusta, GA 30912-0004
Phone 706-721-8623 · Fax 706-721-1459
Mailing address
1120 15th StOr 6000
Augusta, GA 30912-0004
Phone 706-721-3813
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