Individual
DR. JACLYN MILLER PIASTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, WHNP-BC
Contact information
Practice address
519 JOHNSON FERRY RD STE 300, MARIETTA, GA 30068-4660
(404) 490-1739
(877) 649-6022
Mailing address
4523 HUNTING HOUND LN, MARIETTA, GA 30062-6337
(908) 227-4773
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN316599
GA
363LW0102X
Women's Health Nurse Practitioner
004972
AR
363LW0102X
Women's Health Nurse Practitioner
AP119517
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
NP316599
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2010
Last updated
10/09/2025
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