Selena Anthony, WHNP-BC, FNP-C
Nurse Practitioner, Women's Health in Austell, GA. Individual provider (NPI-1).
NPI number1144648528
StatusActive
Last updated in NPPESApr 4, 2023
Details
- NPI
- 1144648528
- Entity type
- Individual (NPI-1)
- Name
- Selena Anthony
- Credential
- WHNP-BC, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2014
- Certification date
- Apr 4, 2023
- Last updated
- Apr 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | RN1981374 | GA | Yes |
| 163W00000X | Registered Nurse | RN198374 | GA | |
| 363LF0000X | Nurse Practitioner, Family | RN198374 | GA |
Practice location
1700 Hospital South Dr Ste 301Austell, GA 30106-8116
Phone 770-819-9211
Mailing address
4400 Brownsville Rd Ste 105-3620Powder Springs, GA 30127-3199
Phone 770-819-9211
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