Individual
YEBU YAYE JALLOH CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, NP
Contact information
Practice address
616 DYER DR, LOCUST GROVE, GA 30248-2350
(770) 527-6341
Mailing address
105 BIRCH ST, HIRAM, GA 30141-4129
(770) 527-6341
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN306798
GA
Other
Enumeration date
11/04/2021
Last updated
04/26/2025
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