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Individual
TUNISIA IYANA AMOS-ISOM
Active
Individual
TUNISIA IYANA AMOS-ISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
211766
GA
208D00000X
General Practice Physician
APRN211766
GA
363LC1500X
Community Health Nurse Practitioner
APRN211766
GA
363LF0000X
Family Nurse Practitioner
Primary
211766
GA
Other
Enumeration date
01/28/2018
Last updated
06/04/2025
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