Healthcare Provider Details

I. General information

NPI: 1659294460
Provider Name (Legal Business Name): IATRO ADVISORS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 BALTIMORE AVE
WAYCROSS GA
31501-4228
US

IV. Provider business mailing address

595 SAWDUST TRL
WAYCROSS GA
31503-6538
US

V. Phone/Fax

Practice location:
  • Phone: 973-713-6819
  • Fax: 855-243-0002
Mailing address:
  • Phone: 912-208-0043
  • Fax: 855-243-0002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER DIEU
Title or Position: OWNER
Credential: DNP, ARNP, PMHNP
Phone: 973-713-6819