Individual
JOHANE CHARLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
321B GREENVILLE ST, LAGRANGE, GA 30241-3231
(678) 810-1955
Mailing address
800 GALLERIA PKWY SE UNIT 736, ATLANTA, GA 30339-6019
(678) 230-1284
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN270338
GA
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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