Individual
JOANNA L FULLER-CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5228 ROSEWOOD PL, FAIRBURN, GA 30213-5113
(678) 834-2285
(404) 445-0347
Mailing address
5228 ROSEWOOD PL, FAIRBURN, GA 30213-5113
(678) 834-2285
(404) 445-0347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN214718
GA
163WA2000X
Administrator Registered Nurse
Primary
RN214718
GA
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN214718
GA
163WH0200X
Home Health Registered Nurse
RN214718
GA
163WH0500X
Hemodialysis Registered Nurse
RN214718
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003263865
—
GA
Enumeration date
02/14/2023
Last updated
02/14/2023
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