Individual provider · Type 1 NPI

Jennifer Michelle Bastecki, FNP-C

Family Nurse Practitioner · Duluth, GA

NPI number 1427644640 Active

Practice location

11459 Johns Creek Pkwy Ste 250
Duluth, GA 30097-3517

Mailing address

350 La Perla Dr
Sugar Hill, GA 30518-6161

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN223372 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1427644640

Jennifer Michelle Bastecki, FNP-C's National Provider Identifier is 1427644640, issued on Dec 13, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Duluth, GA. The record was last updated on Dec 13, 2020.