Individual
TAYANA DERRICKA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 CLIFTON RD NE, ATLANTA, GA 30322-4201
(857) 424-7437
Mailing address
1520 CLIFTON RD NE, ATLANTA, GA 30322-4201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
316278
GA
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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