Individual
TANIA LARA JAJEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2220 N DRUID HILLS RD NE, ATLANTA, GA 30329-3117
(404) 785-7574
Mailing address
3233 NORTHBROOK DR, ATLANTA, GA 30341-4627
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN281015
GA
Other
Enumeration date
03/03/2025
Last updated
12/19/2025
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