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

Mrs. Imose Idubor, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1194466607

Mrs. Imose Idubor, NP is a Psychiatric/Mental Health Nurse Practitioner in Dacula, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1067 Ivey Chase Pl
Dacula, GA 30019-7866
Phone: (678) 670-9626
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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 RN261495 (GA)

Record details

NPI number1194466607
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedApril 6, 2022
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022
Mailing address1067 Ivey Chase Pl, Dacula, GA 30019-7866

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