Individual
MRS. JEANETTE DORMIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1655 LEBANON RD STE A, LAWRENCEVILLE, GA 30043-5116
(770) 682-2024
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN240821
GA
Other
Enumeration date
11/07/2017
Last updated
05/17/2021
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