Individual
KAVISHA DEEPNARAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2220 N DRUID HILLS RD NE, ATLANTA, GA 30329-3117
(770) 298-3486
Mailing address
3078 MOSER WAY, MARIETTA, GA 30060-6340
(770) 298-3486
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN262420
GA
Other
Enumeration date
04/20/2023
Last updated
02/04/2025
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