Individual
JAUSHAI HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 E PACES FERRY RD NE, ATLANTA, GA 30305-2233
(301) 335-7960
Mailing address
255 E PACES FERRY RD NE, ATLANTA, GA 30305-2233
(301) 335-7960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R237760
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R237760
MD
Other
Enumeration date
05/01/2023
Last updated
12/01/2025
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