Individual
DEIDRA SHONDRECE LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
865 N HIGHLAND AVE NE, ATLANTA, GA 30306-4565
(866) 389-2727
Mailing address
865 N HIGHLAND AVE NE, ATLANTA, GA 30306-4565
(404) 205-9499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN217191
GA
363LF0000X
Family Nurse Practitioner
Primary
95030168
CA
363LF0000X
Family Nurse Practitioner
RN217191
GA
Other
Enumeration date
09/02/2011
Last updated
09/26/2025
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