Individual
MARJORIE RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
5067 FIELDGREEN XING, STONE MOUNTAIN, GA 30088-3102
(954) 470-9035
(470) 357-6577
Mailing address
5067 FIELDGREEN XING, STONE MOUNTAIN, GA 30088-3102
(954) 470-9035
(470) 357-6577
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
PHCP010389
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP264132
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831903856
PRIVATE HOME HEALTH CARE AGENCY
GA
Enumeration date
02/14/2020
Last updated
04/01/2026
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