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Individual

JUDITH FUAJONG NGULEFAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1766 LAWRENCEVILLE HWY, DECATUR, GA 30033-5641
(470) 746-3142
(404) 478-8864
Mailing address
1766 LAWRENCEVILLE HWY, DECATUR, GA 30033-5641
(470) 746-3142
(404) 478-8864

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN189589
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN189589
GA
363LP2300X
Primary Care Nurse Practitioner
RN189589
GA

Other

Enumeration date
01/05/2018
Last updated
11/13/2025
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