Individual provider · Type 1 NPI
Tania Lara Jajeh, NP
Pediatric Nurse Practitioner · Atlanta, GA
NPI number
1255139630
Active
Practice location
2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117
Mailing address
3233 Northbrook Dr
Atlanta, GA 30341-4627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN281015 (GA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1255139630
Tania Lara Jajeh, NP's National Provider Identifier is 1255139630, issued on Mar 3, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Atlanta, GA. The record was last updated on Dec 19, 2025.