IndividualActive
Abosede Haygood
NPI 1215639612 · Psychiatric/Mental Health Nurse Practitioner · Ellenwood, GA
Provider details
- NPI number
- 1215639612
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2022096900 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4639 River Hill Cir
Ellenwood, GA 30294-1884
Phone: (404) 259-0967
Approximate (ZIP-level) locationGet directions
Mailing address
4639 River Hill Cir
Ellenwood, GA 30294-1884
Registry dates
- Enumerated
- 2023-03-20
- Last updated
- 2023-03-20
- Certified
- 2023-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.