Maxine Fomunung

Nurse Practitioner - Psych/Mental Health

3206 Thimbleberry Trl, Dacula
  Georgia, 30019-7299
470-461-3426
May or may not accept Medicare Nurse Anesthetist in Dacula, Georgia.
Maxine Fomunung is a Dacula, Georgia based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Maxine Fomunung is RN291792 for Psych/Mental Health in Georgia. Her current practice location is 3206 Thimbleberry Trl, Dacula. Patients can reach her at 470-461-3426 with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1225802168.
Maxine Fomunung provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Maxine Fomunung speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Maxine Fomunung
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Female
Practice Address:3206 Thimbleberry Trl, Dacula,
Georgia, 30019-7299
Phone:470-461-3426
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1225802168
NPI Enumeration Date: 10 Nov, 2023
NPI Last Update On: 04 Dec, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maxine Fomunung are as mentioned below.
License NumberSpecializationStateStatus
RN291792Psych/Mental Health GeorgiaPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Maxine Fomunung
3206 Thimbleberry Trl,
Dacula, Georgia
Zip: 30019-7299
Phone Number: 470-461-3426
Patients can reach Maxine Fomunung at 3206 Thimbleberry Trl, Dacula, Georgia or can call to book an appointment on 470-461-3426.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.