Individual provider · Type 1 NPI
Angela Long
Family Nurse Practitioner · Fayetteville, GA
NPI number
1477083913
Active
Practice location
1265 Highway 54 W Ste 402
Fayetteville, GA 30214-4537
Mailing address
8342 Highway 54
Sharpsburg, GA 30277-2109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN208639 (GA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1477083913
Angela Long's National Provider Identifier is 1477083913, issued on Jun 18, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, GA. The record was last updated on Jan 22, 2021.