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Individual

MRS. KAYONA JONES MORELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
376 GLYNN ST N, FAYETTEVILLE, GA 30214-1191
(770) 648-2148
Mailing address
PO BOX 142076, FAYETTEVILLE, GA 30214-6544
(770) 648-2148

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN192449
GA
363LF0000X
Family Nurse Practitioner
Primary
RN192449
GA
363LP2300X
Primary Care Nurse Practitioner
RN192449
GA

Other

Enumeration date
01/15/2016
Last updated
01/27/2024
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