Individual
KATINA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-PMHNP
Contact information
Practice address
1209 GREENBELT DR, GRIFFIN, GA 30224-4507
(770) 358-8338
Mailing address
1209 GREENBELT DR, GRIFFIN, GA 30224-4507
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN195797
GA
Other
Enumeration date
06/25/2016
Last updated
06/25/2016
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