NPI 1013780162

Angel Witcher

Practitioner Nurse's Aide Jonesboro, GA

Practice location

Address: 3063 Drexel Ln, Jonesboro, GA 30236-6847
Phone: (786) 741-6221

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence CN0030089405 (GA)

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Registry record

NPI: 1013780162
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2023
Record last updated: 31 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.