Individual provider · Type 1 NPI

Kotera Jovane Haynes

Licensed Practical Nurse · Mcdonough, GA

NPI number 1952276107 Active

Practice location

1641 Zacharys Way
Mcdonough, GA 30253-9027

Call (470) 453-7126 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN091357 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1952276107

Kotera Jovane Haynes's National Provider Identifier is 1952276107, issued on Oct 8, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mcdonough, GA. The record was last updated on Oct 8, 2025.