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JALETTA L LONG RN MN CFNP NPI 1245306968


NPI Information

NPI: 1245306968
Provider Name: JALETTA L LONG, RN MN CFNP
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA
ZIP 30046
Phone: (678) 312-3356
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Jaletta L Long, RN MN CFNP is a pediatrics in Lawrenceville, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Jaletta L Long, RN MN CFNP NPI is 1245306968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA
ZIP 30046-694
Phone: (678) 312-3356

The enumeration date for this NPI number is 11/27/2006 and was last updated on 3/26/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsRN060596GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000864366AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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