Healthcare Provider Details

I. General information

NPI: 1598684870
Provider Name (Legal Business Name): ADRIANA LANEISA CALLENS BSN, RN, CPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 MOUNT ZION PKWY
JONESBORO GA
30236-2500
US

IV. Provider business mailing address

6470 BOBOLINK CT
REX GA
30273-1632
US

V. Phone/Fax

Practice location:
  • Phone: 770-603-3845
  • Fax:
Mailing address:
  • Phone: 404-606-0478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: