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

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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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.