Healthcare Provider Details

I. General information

NPI: 1043174584
Provider Name (Legal Business Name): ZANA BARROW PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ZANA CARRYL PMHNP-BC

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4425 MEMORIAL DR
DECATUR GA
30032-1337
US

IV. Provider business mailing address

2245 WISTERIA DR STE 200
SNELLVILLE GA
30078-3799
US

V. Phone/Fax

Practice location:
  • Phone: 404-298-8145
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP281793
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: