Healthcare Provider Details

I. General information

NPI: 1629282785
Provider Name (Legal Business Name): JOANN JUDE KARAGA APRN,BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 JOHNSON FERRY RD NE
ATLANTA GA
30342-1605
US

IV. Provider business mailing address

1521 HIGH COTTON CT
LAWRENCEVILLE GA
30043-7064
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-2213
  • Fax:
Mailing address:
  • Phone: 770-335-1819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN132103
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: