Individual provider · Type 1 NPI
Channa Deloris Rochester, NURSE PRACTITIONER -
Psychiatric/Mental Health Nurse Practitioner · Snellville, GA
NPI number
1134428048
Active
Practice location
11O8 Wayne Dr
Snellville, GA 30078
Mailing address
1108 Wayne Dr
Snellville, GA 30078-2024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN235085 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1134428048
Channa Deloris Rochester, NURSE PRACTITIONER -'s National Provider Identifier is 1134428048, issued on Mar 17, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Snellville, GA. The record was last updated on Mar 12, 2026.