MEDICARE: MRS. JAMILA LANAE MENDEZ

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	163WM0102X	Maternal Newborn Registered Nurse	RN309385	GA

General Provider Information

NPI Number	:	1265378889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAMILA LANAE MENDEZ

Provider Business Mailing Address
First Line	:	80 JESSE HILL JR DR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30303-3031
Country	:	US
Telephone Number	:	404-458-7747
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 JESSE HILL JR DR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30303-3031
Country	:	US
Telephone Number	:	404-458-7747
Fax Number	:

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

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	05/16/2026

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