person
Judith B. Haley, CPNP
Pediatric Nurse Practitioner in Gainesville, Georgia
NPI 1740255900

Judith B. Haley is a Pediatric Nurse Practitioner based in Gainesville, GA and is specialized in Pediatrics. Judith B. Haley practices in Gainesville, GA and has the professional credentials of CPNP. The NPI Number for Judith B. Haley is 1740255900 and holds a License No. RN139047 (Georgia).

The current practice location address for Judith B. Haley is 725 Jesse Jewell Pkwy Se, Gainesville, GA and can be reached out via phone at 770-535-3611 and via fax at 770-535-7092.

Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
person
Provider Profile Details
NPI Number
1740255900
Provider Name
Judith B. Haley
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
725 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
Phone Number
770-535-3611
Fax Number
770-535-7092
Provider Enumeration Date
02/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
303398 01 GA WELLCARE
000820388E 05 GA
000820388C 05 GA
303396 01 GA WELLCARE
000820388H 05 GA
303397 01 GA WELLCARE
000820388G 05 GA
10032985 01 GA AMERIGROUP
303384 01 GA WELLCARE
institution
Provider Business Practice Location Address Details
Address
725 Jesse Jewell Pkwy Se
City
State
Zip
30501-3834
Phone Number
770-535-3611
Fax Number
770-535-7092
person
Provider Business Mailing Address Details
Address
725 Jesse Jewell Pkwy Se
City
State
Zip
30501-3834
Phone Number
770-535-3611
Fax Number
770-535-7092
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
RN139047 (Georgia)
Definition
Definition to come...
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