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Individual

JOCELYN CASTELLANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2536 LAWRENCEVILLE HWY, DECATUR, GA 30033-3227
(770) 934-6832
(770) 934-6337
Mailing address
2536 LAWRENCEVILLE HWY, DECATUR, GA 30033-3227
(770) 934-6832
(770) 934-6337

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN210714
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003179496A
GA
Enumeration date
07/13/2016
Last updated
10/17/2016
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