Organization · Type 2 NPI
En Bonne Sante Clinic LLC
Family Nurse Practitioner · Mcdonough, GA
NPI number
1952134512
Active
Practice location
17 Hampton St Ste F
Mcdonough, GA 30253-3159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1952134512
En Bonne Sante Clinic LLC's National Provider Identifier is 1952134512, issued on Aug 20, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mcdonough, GA. The record was last updated on Sep 26, 2024.