Latasha Lasseter Martin, PMHNP-BC, FNP-C
Nurse Practitioner, Psych/Mental Health in Smyrna, GA. Individual provider (NPI-1).
NPI number1497296263
StatusActive
Last updated in NPPESJul 27, 2023
Details
- NPI
- 1497296263
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Latasha Lasseter Martin
- Credential
- PMHNP-BC, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2017
- Certification date
- Jul 27, 2023
- Last updated
- Jul 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN198732 | GA | Yes |
| 363LF0000X | Nurse Practitioner, Family | RN198732 | GA |
Practice location
400 Technology Ct Se Ste JSmyrna, GA 30082-5237
Phone 770-431-2354
Mailing address
3726 Lake Enclave WayAtlanta, GA 30349-1890
Phone 404-273-9683
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All 25 Psychiatric/Mental Health Nurse Practitioner providers in Smyrna · All 1,864 providers in Smyrna
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