Search › Georgia › Gerontology Nurse Practitioner
Johanne Dastine-Coriolan, NP
NPI 1063009470 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4344 Grove Lake St
Loganville, GA 30052 - Phone
- (770) 696-1350
Registry record
- Primary taxonomy
- Gerontology Nurse Practitioner
363LG0600X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia