Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bold Ark LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1740079623

Bold Ark LLC is a Psychiatric/Mental Health Nurse Practitioner in Loganville, Georgia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3905 Harrison Rd Ste 500
Loganville, GA 30052-5895
Phone: (678) 898-1927
Fax: (678) 798-8880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1740079623
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olufunke Adewunmi — Ceo · (678) 898-1927
NPI enumeratedMay 6, 2025
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address3905 Harrison Rd Ste 500, Loganville, GA 30052-5895

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