Organization · Type 2 NPI
Clayton State University
Family Nurse Practitioner · Morrow, GA
NPI number
1659758985
Active
Practice location
5809 Northlake Drive, Bldg 1000
Morrow, GA 30260
Fax (678) 466-4999
Mailing address
2000 Clayton State Blvd
Morrow, GA 30260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Morrow
About NPI 1659758985
Clayton State University's National Provider Identifier is 1659758985, issued on May 6, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Morrow, GA. The record was last updated on Dec 4, 2015.