NPI 1003488958

Ireta Favors, PMHNP

Practitioner Psychiatric/Mental Health Nurse Practitioner Athens, GA

Practice location

Address: 250 Bray St, Athens, GA 30601-2203
Phone: (678) 215-4907
Fax: (678) 671-8489
Mailing address: 1575 Lawrenceville Hwy STE K, Lawrenceville, GA 30044-2007

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence RN296873 (GA)

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Registry record

NPI: 1003488958
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2021
Record last updated: 20 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.