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Individual

ALEENA HERRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
220 J L WHITE DR STE 150, JASPER, GA 30143-4895
(404) 605-4848
Mailing address
10565 SHALLOWFORD RD, ROSWELL, GA 30075-2742
(229) 942-2835

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN230963
GA
363LP2300X
Primary Care Nurse Practitioner
RN230963
GA

Other

Enumeration date
04/05/2019
Last updated
02/19/2020
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