Samuel, Nellie Idara
Samuel, Nellie Idara is an individual health care provider with primary practice located at 2400 Northside Xing , Macon GA 31210-2252. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Samuel, Nellie Idara can be contacted via phone (865) 765-8225.Contact Information
Primary practice address
2400 Northside Xing
Macon GA 31210-2252
Phone: (865) 765-8225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | RN225022 | Georgia |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | RN225022 | Georgia |
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | RN225022 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP10318 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 95014791 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN225022 | Georgia |
Profile Details
| NPI number | 1821344557 |
|---|---|
| LBN Legal business name | Samuel, Nellie Idara |
| Credentials | MSN, APRN,PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2012 |
| Last updated | Dec 28th, 2020 - about 6 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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