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Mrs. Porsche Tiasha Orange-johnson, FAMILYNURSEPRACTIT
Family Nurse Practitioner in Waycross, Georgia
NPI 1982327730

Porsche Tiasha Orange-johnson is a Family Nurse Practitioner based in Waycross, GA and is specialized in Family. Porsche Tiasha Orange-johnson practices in Waycross, GA and has the professional credentials of FAMILYNURSEPRACTIT. The NPI Number for Porsche Tiasha Orange-johnson is 1982327730 and holds a License No. RN260788 (Georgia).

The current practice location address for Porsche Tiasha Orange-johnson is 2108 Screven Ave, Waycross, GA and can be reached out via phone at 912-816-3206.

Location: 2108 Screven Ave, Waycross, GA, 31501-6047
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Provider Profile Details
NPI Number
1982327730
Provider Name
Porsche Tiasha Orange-johnson
Credential
FAMILYNURSEPRACTIT
Provider Entity Type
Individual
Gender
Female
Address
2108 Screven Ave, Waycross, GA, 31501-6047
Phone Number
912-816-3206
Fax Number
Provider Enumeration Date
09/26/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN260788 01 GA FAMILY NURSE PRACTITIONER
RN260788 05 GA
institution
Provider Business Practice Location Address Details
Address
2108 Screven Ave
City
State
Zip
31501-6047
Phone Number
912-816-3206
Fax Number
person
Provider Business Mailing Address Details
Address
2108 Screven Ave
City
State
Zip
31501-6047
Phone Number
912-816-3206
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN260788 (Georgia)
Definition
Definition to come...
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