Individual
XI CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281
(678) 604-1053
(678) 604-5548
Mailing address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN262370
GA
363LP2300X
Primary Care Nurse Practitioner
RN262370
GA
Other
Enumeration date
08/17/2018
Last updated
10/04/2020
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