Individual
RUTH NYASIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
12461 VETERANS MEMORIAL HWY, DOUGLASVILLE, GA 30134-2025
(862) 596-8432
(770) 216-1848
Mailing address
12461 VETERANS MEMORIAL HWY, DOUGLASVILLE, GA 30134-2025
(862) 596-8432
(770) 216-1848
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN270818
GA
Other
Enumeration date
08/14/2025
Last updated
04/30/2026
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