Angela Marie Baisden-Powell, FNP-C
Nurse Practitioner, Family in Mcdonough, GA. Individual provider (NPI-1).
NPI number1265280820
StatusActive
Last updated in NPPESMay 8, 2024
Details
- NPI
- 1265280820
- Entity type
- Individual (NPI-1)
- Name
- Angela Marie Baisden-Powell
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2024
- Certification date
- May 8, 2024
- Last updated
- May 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F05240180 | GA | Yes |
Practice location
360 Madison Grace AveMcdonough, GA 30252-3142
Phone 229-942-4442
Mailing address
360 Madison Grace AveMcdonough, GA 30252-3142
Phone 229-942-4442
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