Samuel, Nellie Idara

Samuel, Nellie Idara is an individual health care provider with primary practice located at 2400 Northside Xing , Macon GA 31210-2252. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Samuel, Nellie Idara can be contacted via phone (865) 765-8225.

Contact Information

Primary practice address
2400 Northside Xing Macon GA 31210-2252
Phone: (865) 765-8225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X RN225022 Georgia
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN225022 Georgia
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN225022 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP10318 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95014791 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN225022 Georgia

Profile Details

NPI number 1821344557
LBN Legal business name Samuel, Nellie Idara
Credentials MSN, APRN,PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2012
Last updated Dec 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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