Individual provider · Type 1 NPI
Elaina Miranda Averett, FNP-BC
Family Nurse Practitioner · Jasper, GA
NPI number
1811558901
Active
Practice location
580 Hampton Farms Trl
Jasper, GA 30143-5571
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN218486 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1811558901
Elaina Miranda Averett, FNP-BC's National Provider Identifier is 1811558901, issued on Jun 28, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jasper, GA. The record was last updated on Jun 28, 2019.