NPI 1740996222

Tina Chinwenwa Ezeh

Practitioner Psychiatric/Mental Health Clinical Nurse Specialist Douglasville, GA

Practice location

Address: 5945 Azalea Ridge Dr, Douglasville, GA 30135-5590
Phone: (770) 882-8673
Mailing address: PO Box 6296, Douglasville, GA 30154-0022

Registered specialties

Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X Licence RN259954 (GA)

Other Clinical Nurse Specialist providers in Georgia →

Registry record

NPI: 1740996222
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jan 2023
Record last updated: 26 Aug 2025

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.