Individual
MRS. DANIELLE JACOLE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2150 PEACHFORD RD STE N, ATLANTA, GA 30338
(678) 205-4322
Mailing address
3324 RIDGE BROOK TRL, DULUTH, GA 30096-6892
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R220962
MD
363LF0000X
Family Nurse Practitioner
Primary
RN203602
GA
Other
Enumeration date
05/25/2016
Last updated
09/07/2018
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