Healthcare Provider Details

I. General information

NPI: 1770497620
Provider Name (Legal Business Name): BAYBERRY HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3181 GREENBRIER CT
BUFORD GA
30519-7808
US

IV. Provider business mailing address

3300 HAMILTON MILL RD STE 102 PMB 1068
BUFORD GA
30519-4004
US

V. Phone/Fax

Practice location:
  • Phone: 516-474-1059
  • Fax:
Mailing address:
  • Phone: 516-474-1059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: ELIZABETH NOSIER-TURENNE
Title or Position: OWNER
Credential: NP
Phone: 516-474-1059