Individual
ANGELLA E HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
101 QUARTZ DR STE 201, VILLA RICA, GA 30180-3256
(770) 812-3839
(770) 456-3785
Mailing address
433 BAYWOOD WAY, HIRAM, GA 30141-4125
(770) 818-9150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP171201
GA
Other
Enumeration date
12/12/2016
Last updated
10/10/2025
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