Individual provider · Type 1 NPI
Yanique Wedderburn
Family Nurse Practitioner · Newnan, GA
NPI number
1639075153
Active
Practice location
1111 GA-34 Ste 7
Newnan, GA 30265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP200115 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639075153
Yanique Wedderburn's National Provider Identifier is 1639075153, issued on Oct 20, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newnan, GA. The record was last updated on Oct 20, 2026.