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Mrs. Mavis O. Peprah, AGNP-C
Nurse Practitioner in Decatur, Georgia
NPI 1780151597

Mavis O. Peprah is a Nurse Practitioner based in Atlanta, GA. Mavis O. Peprah practices in Decatur, GA and has the professional credentials of AGNP-C. The NPI Number for Mavis O. Peprah is 1780151597 and holds a License No. RN223668 (Georgia).

The current practice location address for Mavis O. Peprah is 2712 Lawrenceville Hwy, Decatur, GA and can be reached out via phone at 770-496-5555 and via fax at 770-939-2887.

Location: 2712 Lawrenceville Hwy, Decatur, GA, 30341-1071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780151597
Provider Name
Mavis O. Peprah
Credential
AGNP-C
Provider Entity Type
Individual
Gender
Female
Address
2712 Lawrenceville Hwy, Decatur, GA, 30341-1071
Phone Number
770-496-5555
Fax Number
770-939-2887
Provider Enumeration Date
10/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003213488A 05 GA
G08685A 01 GA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2712 Lawrenceville Hwy
City
Decatur
State
Georgia
Zip
30033-2512
Phone Number
770-496-5555
Fax Number
770-939-2887
person
Provider Business Mailing Address Details
Address
2712 Lawrenceville Hwy
City
Decatur
State
Georgia
Zip
30033-2512
Phone Number
770-496-5555
Fax Number
770-939-2887
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN223668 (Georgia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
RN223668 (Georgia)
Definition
Definition to come...
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