Buckner, Joretta A
Buckner, Joretta A is an sole proprietor health care provider with primary practice located at 200 Trilith Pkwy Ste 100 , Fayetteville GA 30214-4462. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Buckner, Joretta A can be contacted via phone (404) 948-3019.Contact Information
Primary practice address
200 Trilith Pkwy Ste 100
Fayetteville GA 30214-4462
Phone: (404) 948-3019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN101831 | Georgia |
Profile Details
| NPI number | 1851316665 |
|---|---|
| LBN Legal business name | Buckner, Joretta A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 19th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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