Individual provider · NPI-1

Jaleny Abajobir

Nurse Practitioner · Marietta, GA

NPI number1710452875
StatusActive
Last updated in NPPESOct 4, 2018

Details

NPI
1710452875
Entity type
Individual (NPI-1)
Name
Jaleny Abajobir
Sex
Female
Sole proprietor
No
Enumeration date
Oct 4, 2018
Last updated
Oct 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN231657GAYes

Practice location

55 Whitcher St Ne
Marietta, GA 30060-1155

Phone 770-428-4475

Mailing address

55 Whitcher St Ne
Marietta, GA 30060-1155

Phone 770-428-4475

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