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Individual

JAYNE N ANDRADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
707 WHITLOCK AVE SW STE A40, MARIETTA, GA 30064-4654
(404) 282-8530
(404) 282-8540
Mailing address
5200 DALLAS HWY STE 200-193, POWDER SPRINGS, GA 30127-6318
(404) 282-8530

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN177136
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN177136
GA

Other

Enumeration date
12/05/2014
Last updated
03/21/2024
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