Individual
FAITH IFEANYI ENWEFAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
113 S PERRY ST STE 206, LAWRENCEVILLE, GA 30046-4811
(678) 704-5219
Mailing address
72 VALLEY VIEW TRL, DALLAS, GA 30132-5465
(678) 704-5219
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN225483
GA
Other
Enumeration date
03/17/2023
Last updated
11/07/2025
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