Fallon Wortham
Fallon Wortham is a Psychiatric/Mental Health Nurse Practitioner in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2024.
- Licensed in
- GA
- In the registry since
- 2024
Practice location Address checks out
110 Braxton CtFayetteville, GA 30214-1968
Phone: (770) 461-6422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 191643 (GA) |
|---|
Record details
| NPI number | 1346010899 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 5, 2024 |
| Last updated in NPPES | January 5, 2024 |
| Certification date | January 5, 2024 |
| Mailing address | 9 Pine Grove Cir, Newnan, GA 30263-2897 |
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