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

Ivie B Ekhorutomwen

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1255126678

Ivie B Ekhorutomwen is a Psychiatric/Mental Health Nurse Practitioner in Stockbridge, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

110 Walter Way Unit 2635
Stockbridge, GA 30281-9526
Phone: (404) 692-0232
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 · Licence RN296248 (GA)

Record details

NPI number1255126678
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

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