IndividualActive
Jacqueline Mbuyongha, RN
NPI 1457937997 · Adult Psychiatric/Mental Health Registered Nurse · Lawrenceville, GA
Provider details
- NPI number
- 1457937997
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN191886 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone: (678) 209-2394
Approximate (ZIP-level) locationGet directions
Mailing address
4039 Elm Trace Dr
Loganville, GA 30052-5941
Registry dates
- Enumerated
- 2021-03-23
- Last updated
- 2021-03-23
- Certified
- 2021-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.