Individual
MRS. LATASHA DEVONNE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2480 WINDY HILL RD SE STE 405, MARIETTA, GA 30067-8658
(800) 640-3451
Mailing address
885 HWY 138 E, STOCKBRIDGE, GA 30281-7733
(470) 377-2552
(770) 385-9401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP195618
GA
Other
Enumeration date
08/15/2014
Last updated
10/21/2025
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