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NPI Code Detail

MEDICARE: JOVON ERIKA CALDWELL PMHNP-BC

MEDICARE: JOVON ERIKA CALDWELL PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN233368GA

General Provider Information

NPI Number : 1295372696
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOVON ERIKA CALDWELL PMHNP-BC
Provider Business Mailing Address
First Line : 3710 SHANNON RD UNIT 51096
Second Line :
City : DURHAM
State : NC
Zip : 27717-0704
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3379 PEACHTREE RD NE STE 700
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1419
Country : US
Telephone Number : 404-692-0232
Fax Number : 224-259-0626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2019
Last Update Date : 05/21/2026

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