Joy Enagbare, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Grayson, GA
NPI 1619668316 · NPPES record last updated May 15, 2023
Key facts
- NPI
- 1619668316
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN175444 (GA)
- Practice address
- 20 Purpletop Dr
Grayson, GA 30017-4168 - Phone
- (770) 369-2411
- NPI assigned
- May 15, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN175444 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN175444 | GA | Yes |
Addresses
Primary practice location
20 Purpletop Dr
Grayson, GA 30017-4168
Mailing address
20 Purpletop Dr
Grayson, GA 30017-4168
Phone (770) 369-2411
Other providers in Grayson, GA
- Elevated Mental Health and Wellness Center
- Elian Health Care Management
- Elian Staffing Associates, LLC
- Bria Leigh Ellerbe
- Jennifer Hicks Ellerbe
- Cody Garland Evans
- Cassandra Evertsz
- Sharisma Fahie
- Faithfully Divine Concierge
- Family First Home and Health Care Services, LLC
All providers in Grayson, GA · Psychiatric/Mental Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.