MEDICARE: MISS MAGLYNE BADEAU-JUSTE FNP

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	95029646	CA
2	363LF0000X	Family Nurse Practitioner	1196949	TX
3	363LF0000X	Family Nurse Practitioner	RN285418	GA
4	363LF0000X	Family Nurse Practitioner	354092	NY
5	163W00000X	Registered Nurse	702829	NY
6	164W00000X	Licensed Practical Nurse	314862	NY

General Provider Information

NPI Number	:	1831514439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MAGLYNE BADEAU-JUSTE FNP

Provider Business Mailing Address
First Line	:	5570 TURNSTONE DR SW
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30094-4756
Country	:	US
Telephone Number	:	631-991-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5570 TURNSTONE DR SW
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30094-4756
Country	:	US
Telephone Number	:	631-991-1000
Fax Number	:

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

Provider Enumeration Date	:	02/19/2014
Last Update Date	:	06/08/2026

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