Ikwueme, Seraphine

Ikwueme, Seraphine is an individual health care provider with primary practice located at 2926 Mountain Industrial Blvd , Tucker GA 30084-3012. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ikwueme, Seraphine can be contacted via phone (877) 796-3363.

Contact Information

Primary practice address
2926 Mountain Industrial Blvd Tucker GA 30084-3012
Phone: (877) 796-3363
Fax: (877) 796-3386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F304012 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN171553 Georgia

Profile Details

NPI number 1396831954
LBN Legal business name Ikwueme, Seraphine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated May 24th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396831954 NPPES
New York MEDICAID 00246075

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