Individual provider · Type 1 NPI
Johanne Dastine-Coriolan, NP
Gerontology Nurse Practitioner · Loganville, GA
NPI number
1063009470
Active
Practice location
4344 Grove Lake St
Loganville, GA 30052-8155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN208229 (GA) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Loganville
About NPI 1063009470
Johanne Dastine-Coriolan, NP's National Provider Identifier is 1063009470, issued on Dec 31, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Loganville, GA. The record was last updated on Dec 31, 2020.