ANNJERALD DEVANCE

RIVERDALE, GA
NPI1629437785
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  GAA-NP000665)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: AL  1055067)
Enumeration Date2016-02-17
Last Update Date2022-06-29
Business Address
ANNJERALD DEVANCE NP
7028 HIGHWAY 85
RIVERDALE, GA 30274-2946
Phone number: 470-444-3136
Mailing Address
ANNJERALD DEVANCE NP
PO BOX 740015
ATLANTA, GA 30374-0015
Phone number: 312-733-9730