Individual
MS. SERAPHINE IKWUEME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2926 MOUNTAIN INDUSTRIAL BLVD, TUCKER, GA 30084-3012
(877) 796-3363
(877) 796-3386
Mailing address
2926 MOUNTAIN INDUSTRIAL BLVD, TUCKER, GA 30084-3012
(877) 796-3363
(877) 796-3386
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN171553
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F304012
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
10/04/2006
Last updated
03/18/2025
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