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

Individual provider Family Nurse Practitioner · NPI 1730604620

Nnenna Beatrice Otaluka, NP is a Nurse Practitioner in Stone Mountain, Georgia. Qualified in 2017, 9 years ago. Practices with Hospital Physician Services - Southeast Professional Corporation, a 824-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5329 Memorial Dr Ste A
Stone Mountain, GA 30083-3212
Phone: (404) 296-7695
Fax: (404) 296-7695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 Medical Way, Snellville, GA 30078-2195 — (770) 979-0200

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN152070 (GA)

Record details

NPI number1730604620
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 11, 2017
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hospital Physician Services - Southeast Professional Corporation — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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