Unknown Individual – Family Nurse Practitioner, NPI 1801378963
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2962, Heavenly Lane, Snellville, Gwinnett County, Georgia, 30078, United States
SNELLVILLE, GA 300786681
Phone: (678) 313-9557
Type: Mailing
Clifton Road Northeast, Emory Highlands, Druid Hills, DeKalb County, Georgia, 30329, United States
ATLANTA, GA 303221059
Phone: (404) 712-7235
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30078)
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