Individual
MRS. APRIL JILES FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
101 QUARTZ DR STE 103B, VILLA RICA, GA 30180-3201
(770) 812-3530
(770) 812-3531
Mailing address
20 HERRELL RD, VILLA RICA, GA 30180-5527
(770) 812-3530
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
RN106665
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP106665
GA
363LP2300X
Primary Care Nurse Practitioner
RN106665
GA
Other
Enumeration date
08/14/2014
Last updated
10/10/2025
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