Individual provider · Type 1 NPI
Lesia Herron
Primary Care Nurse Practitioner · Atlanta, GA
NPI number
1184054900
Active
Practice location
3408 Noble Creek Nwdr
Atlanta, GA 30327-5121
Fax (410) 569-7137
Mailing address
2020 Howell Mill Rd NW, D-421
Atlanta, GA 30318-1732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN1020457 (DC) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | RN115103 (GA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1184054900
Lesia Herron's National Provider Identifier is 1184054900, issued on Nov 14, 2013. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Atlanta, GA. The record was last updated on Dec 30, 2015.