MEDICARE: DR. LOVIE JUANITA NEGRIN DNP, APRN, FNP-C

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	363LF0000X	Family Nurse Practitioner	NCO-000001	GA

General Provider Information

NPI Number	:	1467032268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOVIE JUANITA NEGRIN DNP, APRN, FNP-C

Provider Business Mailing Address
First Line	:	1325 COMMERCE DR STE 200
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-3582
Country	:	US
Telephone Number	:	470-805-9900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 COMMERCE DR STE 200
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-3582
Country	:	US
Telephone Number	:	770-692-7575
Fax Number	:

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

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	03/17/2022

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