Individual provider · Type 1 NPI

Destiny Anderson, RN

Psychiatric/Mental Health Registered Nurse · Lawrenceville, GA

NPI number 1043026784 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Mailing address

2461 Bear Mountain St
Lithonia, GA 30058-8832

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN298289 (GA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAPRN-NP298289 (GA)
Addiction (Substance Use Disorder) Registered Nurse 163WA0400XRN298289 (GA)
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XRN298289 (GA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1043026784

Destiny Anderson, RN's National Provider Identifier is 1043026784, issued on Dec 7, 2024. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 29, 2026.