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MS. STELLA JULIET DURU FNP-C
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1407209455
Individual Registrant:MS. STELLA JULIET DURU FNP-C
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
261 TWAIN CIR SE MABLETON, GA 30126-5244 US
Tel: 404-667-9960 Fax: --
Tel: 404-667-9960 Fax: --
Contact information for business:
261 TWAIN CIR SE MABLETON, GA 30126-5244 US
Tel: 404-667-9960 Fax: --
Tel: 404-667-9960 Fax: --
Registration Information:
NPI: 1407209455
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 163W00000X | Nursing Service Providers Registered Nurse | GA | 106275 |
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GA | 106275 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
