Individual provider · NPI-1

Priscilla Tate Foster, CNA

Home Health Aide · Jonesboro, GA

NPI number1740984640
StatusActive
Last updated in NPPESMar 27, 2023

Details

NPI
1740984640
Entity type
Individual (NPI-1)
Name
Priscilla Tate Foster
Credential
CNA
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 27, 2023
Certification date
Mar 27, 2023
Last updated
Mar 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

709 Chapman St
Jonesboro, GA 30238-5681

Phone 504-810-6402

Mailing address

709 Chapman St
Jonesboro, GA 30238-5681

Phone 504-810-6402

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