MEDICARE: JANA CASHEN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	RN211173	GA

General Provider Information

NPI Number	:	1104302058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANA CASHEN NP

Provider Business Mailing Address
First Line	:	745 MEMORIAL DR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-1185
Country	:	US
Telephone Number	:	404-616-6395
Fax Number	:

Provider Business Practice Location Address
First Line	:	2831 SILVER HILL TER SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-5700
Country	:	US
Telephone Number	:	785-317-2669
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2018
Last Update Date	:	01/14/2019

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