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

Mr. Jason Fordyce, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1346816865

Mr. Jason Fordyce, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Villa Rica, Georgia. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

307 Old Stone Rd
Villa Rica, GA 30180-1214
Phone: (770) 459-8799
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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 RN223272 (GA)

Record details

NPI number1346816865
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 3, 2021
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021

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