person
Maya Tiffany Jacqueline King, CPNP
Pediatric Nurse Practitioner in Fayetteville, Georgia
NPI 1538702170

Maya Tiffany Jacqueline King is a Pediatric Nurse Practitioner based in Fayetteville, GA and is specialized in Pediatrics. Maya Tiffany Jacqueline King practices in Fayetteville, GA and has the professional credentials of CPNP. The NPI Number for Maya Tiffany Jacqueline King is 1538702170 and holds a License No. 290689 (Georgia).

The current practice location address for Maya Tiffany Jacqueline King is 105 S Shore Ter, Fayetteville, GA and can be reached out via phone at 770-349-9698.

Location: 105 S Shore Ter, Fayetteville, GA, 30214-7399
person
Provider Profile Details
NPI Number
1538702170
Provider Name
Maya Tiffany Jacqueline King
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
105 S Shore Ter, Fayetteville, GA, 30214-7399
Phone Number
770-349-9698
Fax Number
Provider Enumeration Date
10/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
105 S Shore Ter
City
State
Zip
30214-7399
Phone Number
770-349-9698
Fax Number
person
Provider Business Mailing Address Details
Address
105 S Shore Ter
City
State
Zip
30214-7399
Phone Number
770-349-9698
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
290689 (Georgia)
Definition
Definition to come...
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