Individual
AMISA JIWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4905 COURTNEY DR, FOREST PARK, GA 30297-1427
(404) 366-3636
(404) 362-0808
Mailing address
4905 COURTNEY DR, FOREST PARK, GA 30297-1427
(404) 366-3636
(404) 362-0808
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN312490
GA
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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