Individual
USHA VADAKKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
EMORY UNIVERSITY HOSPITAL 1364 CLIFTON ROAD NE, ATLANTA, GA 30322-2059
(404) 778-4889
(404) 778-0826
Mailing address
2580 BENT CREEK DR, CUMMING, GA 30041-6366
(845) 717-8340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN200107
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN200107
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
583530005
AANP
GA
Enumeration date
09/25/2018
Last updated
01/30/2025
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