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Dejah Dominique Haynes
Licensed Practical Nurse in Decatur, Georgia
NPI 1538805866

Dejah Dominique Haynes is a Licensed Practical Nurse based in Decatur, GA. Dejah Dominique Haynes practices in Decatur, GA. The NPI Number for Dejah Dominique Haynes is 1538805866 and holds a License No. 099114 (Georgia).

The current practice location address for Dejah Dominique Haynes is 2591 Candler Rd, Decatur, GA and can be reached out via phone at 678-209-2710.

Location: 2591 Candler Rd, Decatur, GA, 30030-2546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538805866
Provider Name
Dejah Dominique Haynes
Credential
Provider Entity Type
Individual
Gender
Female
Address
2591 Candler Rd, Decatur, GA, 30030-2546
Phone Number
678-209-2710
Fax Number
Provider Enumeration Date
05/10/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
222118476048 05 GA
institution
Provider Business Practice Location Address Details
Address
2591 Candler Rd
City
Decatur
State
Georgia
Zip
30032-6502
Phone Number
678-209-2710
Fax Number
person
Provider Business Mailing Address Details
Address
2591 Candler Rd
City
Decatur
State
Georgia
Zip
30032-6502
Phone Number
678-209-2710
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
099114 (Georgia)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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