Jaletta L Long
RN MN CFNP | Pediatrics | Female
Jaletta L Long, RN MN CFNP is a Lawrenceville, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jaletta L Long is
1000 Medical Center Blvd, Lawrenceville, Georgia - 30046-7694. She can be contacted on phone at
678-312-3356.
Jaletta L Long is a sole proprietor of her business.
NPI number (Unique professional ID) for Jaletta L Long is
1245306968 which was assigned by NPPES on 27 Nov, 2006 and it was last updated on 26 Mar, 2015.
Jaletta L Long license number is
RN060596 for Pediatrics (208000000X) in Georgia.
Jaletta L Long is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jaletta L Long basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | Jaletta L Long |
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Credential : | RN MN CFNP |
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Gender : | Female |
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Business Address:
Jaletta L Long address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 1000 Medical Center Blvd Lawrenceville, GA, 30046-7694 United States |
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Phone Number : | 678-312-3356 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1245306968 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 27 Nov, 2006 |
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Last Updated On : | 26 Mar, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jaletta L Long are as mentioned. Primary taxonomy code for Jaletta L Long, RN MN CFNP is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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208000000X | Pediatrics | Yes | RN060596 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Jaletta L Long such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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000864366A | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | Po Box 4019 Atlanta, GA, 30302-4019 United States |
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Phone Number : | 404-413-1191 |
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Fax Number : | 404-413-1191 |
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Business Location:
Patients can refer following map for directions to
Jaletta L Long practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.