Individual provider · Type 1 NPI

Jalesha Chayelle Gordwin, FNP

Nurse Practitioner · Atlanta, GA

NPI number 1275269516 Active

Practice location

980 Johnson Ferry Rd Ste 900
Atlanta, GA 30342-4768

Fax (404) 459-1903

Mailing address

3723 Jolane Ter SE
Conyers, GA 30094-3874

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN245605 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1275269516

Jalesha Chayelle Gordwin, FNP's National Provider Identifier is 1275269516, issued on Jul 28, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 5, 2022.