IndividualActive
Eunice Koboo
NPI 1518669696 · Gerontology Nurse Practitioner · Lithonia, GA
Provider details
- NPI number
- 1518669696
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN203401 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7493 Redbud Loop
Lithonia, GA 30038-3364
Phone: (404) 604-4597
Approximate (ZIP-level) locationGet directions
Mailing address
7493 Redbud Loop
Lithonia, GA 30038-3364
Registry dates
- Enumerated
- 2023-03-21
- Last updated
- 2023-03-21
- Certified
- 2023-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.