Individual
MS. ELIZABETH PERSEPHONE ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1050 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-9018
(770) 507-0070
Mailing address
1100 JOHNSON FERRY RD, STE 510, SANDY SPRINGS, GA 30342-1743
(404) 419-1165
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN228808
GA
363LF0000X
Family Nurse Practitioner
Primary
2018080794
GA
Other
Enumeration date
03/01/2019
Last updated
04/16/2026
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