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NPI Code Detail

MEDICARE: PAULE CONSTANT FNP

MEDICARE: PAULE CONSTANT FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN182177GA
2363LF0000XFamily Nurse PractitionerRN182177GA

General Provider Information

NPI Number : 1710593389
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULE CONSTANT FNP
Provider Business Mailing Address
First Line : 1600 TOWNE LAKE PKWY
Second Line :
City : WOODSTOCK
State : GA
Zip : 30189-1585
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 TOWNE LAKE PKWY
Second Line :
City : WOODSTOCK
State : GA
Zip : 30189-1585
Country : US
Telephone Number : 678-736-9549
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2020
Last Update Date : 04/06/2026

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