Imose Idubor, NP
Psychiatric-Mental Health NP · Dacula, GA
UnclaimedNPNPI 1194466607
- Primary taxonomy
- 363LP0808X
- Enumerated
- 2022-04-06
- Practice location
- Dacula, GA
- Last NPPES update
- 2022-04-11
State licenses
- GA · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.