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IndividualActivePrescriber

Johanne Dastine-Coriolan

NP

Nurse Practitioner - Gerontology

NPI: 1063009470Loganville, Georgia, 30052(770) 696-1350Female

About Johanne Dastine-Coriolan

Johanne Dastine-Coriolan, NP, is a female healthcare professional specializing in Nurse Practitioner - Gerontology with a focus on Gerontology, registered under National Provider Identifier (NPI) number 1063009470.

Their primary practice is located at 4344 GROVE LAKE ST, Loganville, Georgia 30052. Patients can reach the office at (770) 696-1350. Johanne Dastine-Coriolan is authorized to prescribe medications. Johanne Dastine-Coriolan has been NPI-registered since 2020.

Doctor Details

Identity & Credentials

NPI Number
1063009470
Entity Type
Individual
First Name
Johanne
Last Name
Dastine-Coriolan
Credential
NP
Gender
Female
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
4344 GROVE LAKE ST
City
Loganville
State
Georgia
ZIP
30052-8155
Country
United States
Phone
(770) 696-1350

Specialty & Taxonomy

Primary Specialty
Nurse Practitioner - Gerontology
Classification
Nurse Practitioner
Specialization
Gerontology
Taxonomy Code
363LG0600X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
4344 GROVE LAKE ST
City
LOGANVILLE
State
GA
ZIP
300528155

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Johanne Dastine-Coriolan's NPI number?
Johanne Dastine-Coriolan's National Provider Identifier (NPI) is 1063009470. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Johanne Dastine-Coriolan specialize in?
Johanne Dastine-Coriolan specializes in Nurse Practitioner - Gerontology.
Where is Johanne Dastine-Coriolan located?
Johanne Dastine-Coriolan practices at 4344 GROVE LAKE ST, Loganville, Georgia 30052. You can reach them by phone at (770) 696-1350.
Does Johanne Dastine-Coriolan accept Medicare?
Based on available data, Johanne Dastine-Coriolan is not currently enrolled in the Medicare program.
Does Johanne Dastine-Coriolan offer telehealth or virtual visits?
Johanne Dastine-Coriolan does not currently offer telehealth services. In-person visits are required at their practice location.
Can Johanne Dastine-Coriolan prescribe medications?
Yes, Johanne Dastine-Coriolan is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Johanne Dastine-Coriolan is 1063009470.