IVIE B EKHORUTOMWEN
NPI 1255126678
Nurse Practitioner - Psychiatric/Mental Health in Stockbridge, GA

Active since April 14, 2025
110 WALTER WAY UNIT 2635, STOCKBRIDGE, GA 30281(404) 692-0232 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ivie B Ekhorutomwen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVIE B EKHORUTOMWEN (NPI 1255126678) is an individual psychiatric/mental health provider in Stockbridge, Georgia, licensed in Georgia (RN296248) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1255126678
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameIVIE B EKHORUTOMWEN
Location Address110 WALTER WAY UNIT 2635Stockbridge, GA 30281-9526
Mailing Address889 Kent CtLithonia, GA 30058-8240 · (413) 204-4729
Sole ProprietorYes
Enumeration DateApril 14, 2025
NPPES CertifiedApril 14, 2025
NPI 1255126678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in GA · RN296248
110 WALTER WAY UNIT 2635, Stockbridge, GA 30281

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivie Ekhorutomwen's NPI number?

The NPI number for Ivie Ekhorutomwen is 1255126678. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Ivie Ekhorutomwen located?

Ivie Ekhorutomwen practices at 110 Walter Way Unit 2635, Stockbridge, GA 30281. The listed phone number is (404) 692-0232.

What is Ivie Ekhorutomwen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ivie Ekhorutomwen was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.