APRN MOBILE CLINIC LLC; NPI #1780285486

Contact Information

APRN MOBILE CLINIC LLC

1361 HIGHWOODS PASS
GROVETOWN, GA 30813-3994

Phone: 706-267-1663
Fax: 706-510-0423
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for APRN MOBILE CLINIC LLC

NPI #	`1780285486`
LBN Legal business name	APRN MOBILE CLINIC LLC
Authorized official	PASTELLE WALSTON - (OWNER PROVIDER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/08/2020
Last updated	01/16/2026 - About 5 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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APRN MOBILE CLINIC LLC

Contact Information

Specialty

Family

NPI Profile & details for APRN MOBILE CLINIC LLC

Reviews for APRN MOBILE CLINIC LLC