Individual
LIANNE MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4685 DORSETT SHOALS RD, DOUGLASVILLE, GA 30135-4921
(770) 852-6300
Mailing address
4685 DORSETT SHOALS RD, DOUGLASVILLE, GA 30135-4921
(770) 852-6300
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1-140968
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
GAA-NP002641
GA
Other
Enumeration date
10/15/2018
Last updated
09/19/2024
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