National Provider Identifier Database

APRN MOBILE CLINIC LLC
Family


Contact Information

APRN MOBILE CLINIC LLC
1361 HIGHWOODS PASS
GROVETOWN, GA30813-3994
Phone: 706-267-1663
Fax: 706-510-0423
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for APRN MOBILE CLINIC LLC

NPI Number 1780285486
Legal business name
LBN
APRN MOBILE CLINIC LLC
Authorized official PASTELLE WALSTON - (OWNER PROVIDER)
Entity Organization
Organization subpart No
Enumeration date 11/08/2020
Last updated 01/16/2026 - About 5 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for APRN MOBILE CLINIC LLC

There are currently no reviews for APRN MOBILE CLINIC LLC


NPIdb - Home
v2.201