person
Farah Octavien, AGNP
Gerontology Clinical Nurse Specialist in Ellenwood, Georgia
NPI 1629629613

Farah Octavien is a Gerontology Clinical Nurse Specialist based in Ellenwood, GA and is specialized in Gerontology. Farah Octavien practices in Ellenwood, GA and has the professional credentials of AGNP. The NPI Number for Farah Octavien is 1629629613 and holds a License No. AG03190021 (Georgia).

The current practice location address for Farah Octavien is 2873 Village Park Dr E, Ellenwood, GA and can be reached out via phone at 678-571-0918.

Location: 2873 Village Park Dr E, Ellenwood, GA, 30294-5712
person
Provider Profile Details
NPI Number
1629629613
Provider Name
Farah Octavien
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
2873 Village Park Dr E, Ellenwood, GA, 30294-5712
Phone Number
678-571-0918
Fax Number
Provider Enumeration Date
09/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2873 Village Park Dr E
City
State
Zip
30294-5712
Phone Number
678-571-0918
Fax Number
person
Provider Business Mailing Address Details
Address
2873 Village Park Dr E
City
State
Zip
30294-5712
Phone Number
678-571-0918
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Gerontology
Taxonomy
License No.
AG03190021 (Georgia)
Definition
Definition to come...
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