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Mrs. Latasha Devonne Jefferson, FNP
Family Nurse Practitioner in Stockbridge, Georgia
NPI 1457750432

Latasha Devonne Jefferson is a Family Nurse Practitioner based in Stockbridge, GA and is specialized in Family. Latasha Devonne Jefferson practices in Stockbridge, GA and has the professional credentials of FNP. The NPI Number for Latasha Devonne Jefferson is 1457750432 and holds a License No. RN195618 (Georgia).

The current practice location address for Latasha Devonne Jefferson is 105 N Park Trl Ste 300, Stockbridge, GA and can be reached out via phone at 678-284-0800.

Location: 105 N Park Trl Ste 300, Stockbridge, GA, 30281-7733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457750432
Provider Name
Latasha Devonne Jefferson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
105 N Park Trl Ste 300, Stockbridge, GA, 30281-7733
Phone Number
678-284-0800
Fax Number
Provider Enumeration Date
08/15/2014
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
105 N Park Trl Ste 300
City
Stockbridge
State
Georgia
Zip
30281-7432
Phone Number
678-284-0800
Fax Number
person
Provider Business Mailing Address Details
Address
105 N Park Trl Ste 300
City
Stockbridge
State
Georgia
Zip
30281-7432
Phone Number
678-284-0800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN195618 (Georgia)
Definition
Definition to come...
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