Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tina Betty Ezeolisah, DNP, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1306299268

Dr. Tina Betty Ezeolisah, DNP, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Duluth, Georgia. Practices as a sole proprietor and works from 3 locations. Licensed in Colorado, Georgia, Massachusetts and Rhode Island.

Licensed in
CO, GA, MA, RI
In the registry since
2016
Specialties on file
5
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

3355 McDaniel Rd Apt 17401
Duluth, GA 30096-8613
Phone: (678) 704-3593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1814 Clairmont Rd, Decatur, GA 30033-3405 — (404) 636-1457
  • 940 Concord Rd Se, Smyrna, GA 30080-4204 — (404) 636-1457

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN217223 (GA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN2345725 (MA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence C-APN.0002066-C-NP (CO)
Registered Nurse Taxonomy 163W00000X · Licence RN 217223 (GA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 05031 (RI)

Record details

NPI number1306299268
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , PMHNP-BC
Sole proprietorYes
NPI enumeratedJuly 15, 2016
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022

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