Provider Demographics
NPI:1386084234
Name:IBEMERE, JULIET CYNTHIA (DNP, PMHNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:JULIET
Middle Name:CYNTHIA
Last Name:IBEMERE
Suffix:
Gender:
Credentials:DNP, PMHNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 CROOKED CREEK LN
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-3020
Mailing Address - Country:US
Mailing Address - Phone:770-987-1461
Mailing Address - Fax:770-987-1461
Practice Address - Street 1:300 W HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:FORT EISENHOWER
Practice Address - State:GA
Practice Address - Zip Code:30905-5741
Practice Address - Country:US
Practice Address - Phone:706-787-5602
Practice Address - Fax:706-788-5625
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN222464363LF0000X, 163W00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse