Doctor profile · Federal record
Dr. Imose Idubor, NP
Psychiatric/Mental Health Nurse Practitioner · Dacula, GA
- NPI 1194466607
- 4 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1067 Ivey Chase Pl
Dacula, GA 300197866
(678) 670-9626
Credentials & registration
- NPI registered
- April 2022 — 4 yrs on file
- Profile last updated
- April 11, 2022
- Specialty taxonomy
- 363LP0808X — NUCC code
- State license (1)
- Georgia #RN261495
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194466607. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 1 | $14.77 |
By nature of payment
Frequently asked questions
What is Dr. Imose Idubor's medical specialty?
Dr. Imose Idubor practices Psychiatric/Mental Health Nurse Practitioner in Dacula, GA.
Where does Dr. Imose Idubor practice?
Dr. Imose Idubor practices at 1067 Ivey Chase Pl, Dacula, GA 300197866. Office phone: 6786709626.
What is Dr. Imose Idubor's NPI?
Dr. Imose Idubor's National Provider Identifier (NPI) is 1194466607, issued by NPPES.