Individual
MR. MUSSIE ASMEROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NNP-BC
Contact information
Practice address
3773 IVEY LN SW, LILBURN, GA 30047-2155
(770) 595-5276
Mailing address
1711 TULLIE CIR NE, ATLANTA, GA 30329-2305
(404) 785-5413
(404) 785-6233
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LM-0000137
DE
363LN0000X
Neonatal Nurse Practitioner
LM-0000137
DE
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN190757
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285094433
NPI
—
Enumeration date
03/01/2016
Last updated
09/25/2025
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