Individual
DANA FLORENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1174 FOREST PKWY, LAKE CITY, GA 30260-3471
(678) 878-9834
Mailing address
PO BOX 1132, FOREST PARK, GA 30298-1132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN163879
GA
163WH0200X
Home Health Registered Nurse
RN163879
GA
163WH0500X
Hemodialysis Registered Nurse
RN163879
GA
163WI0500X
Infusion Therapy Registered Nurse
RN163879
GA
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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