LEENA SUCHITRA JOHN, FNP-C - NPI NUMBER 1811254907

Summary

Provider Name: LEENA SUCHITRA JOHN, FNP-C

NPI Number: 1811254907

Clasification: Nurse Practitioner (363LF0000X)

Specialization: Family

Organization: PIEDMONT PROVIDERS LLC

Address:
1800 HOWELL MILL RD NW
ATLANTA, GA
ZIP 30318

Phone Number: (404) 425-7310



Detailed Information

Leena Suchitra John, FNP-C is a family nurse practitioner in Atlanta, GA with 3 years of experience. The assigned NPI number for this provider is 1811254907 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

1800 HOWELL MILL RD NW
ATLANTA, GA
ZIP 30318-538
Phone: (404) 425-7310

The enumeration date for this NPI number is 4/13/2012 and was last updated on 4/13/2012.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 363LF0000X Nurse Practitioner Family RN174399 GA Yes

NPI Record

No. Field Name Field Value
1 NPI 1811254907
2 Entity Type Code 1
3 Provider Last Name Legal Name JOHN
4 Provider First Name LEENA
5 Provider Middle Name SUCHITRA
6 Provider Credential Text FNP-C
7 Provider First Line Business Practice Location Address 1800 HOWELL MILL RD NW
8 Provider Business Practice Location Address City Name ATLANTA
9 Provider Business Practice Location Address State Name GA
10 Provider Business Practice Location Address Postal Code 303182538
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 4044257310
13 Provider Enumeration Date 4/13/2012
14 Last Update Date 4/13/2012
15 Provider Gender Code F
16 Healthcare Provider Taxonomy Code 1 363LF0000X
17 Provider License Number 1 RN174399
18 Provider License Number State Code 1 GA
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.