Individual
NANCY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
1777 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2480
(404) 785-5437
Mailing address
1777 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2480
(404) 785-5437
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP281120
GA
Other
Enumeration date
06/21/2023
Last updated
10/27/2025
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