Individual provider · Type 1 NPI

Latasha Lasseter Martin, PMHNP-BC, FNP-C

Psychiatric/Mental Health Nurse Practitioner · Smyrna, GA

NPI number 1497296263 Active

Practice location

400 Technology Ct SE Ste J
Smyrna, GA 30082-5237

Mailing address

3726 Lake Enclave Way
Atlanta, GA 30349-1890

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XRN198732 (GA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN198732 (GA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1497296263

Latasha Lasseter Martin, PMHNP-BC, FNP-C's National Provider Identifier is 1497296263, issued on Mar 14, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Smyrna, GA. The record was last updated on Jul 27, 2023.