Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHANNE DASTINE-CORIOLAN, NP
Active Sole ProprietorJOHANNE DASTINE-CORIOLAN, NP is a Gerontological Nurse Practitioner healthcare provider located in LOGANVILLE, Georgia. NPI 1063009470 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · LOGANVILLE, GA
Registration Details
- NPI Number
- 1063009470
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 31, 2020 (5.6278639845597 yrs)
- Last Updated
- Dec 31, 2020
- License
-
RN208229 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4344 GROVE LAKE STLOGANVILLE, GA, 300528155Browse GA providers · Browse ZIP 30052
- Phone
- 7706961350
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in LOGANVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. MARY-THERESIA KEMNI WALLANG-NWAHA | NP-C | 1972786564 |
| ELLEN LEWIS | APRN | 1992979793 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.