Jaletta L Long, RN MN CFNP - Pediatrics in Lawrenceville, GA

Jaletta L Long, RN MN CFNP is a Pediatrics physician based in Lawrenceville, Georgia. Jaletta L Long is licensed to practice in Georgia (license number RN060596) and her current practice location is 1000 Medical Center Blvd, Lawrenceville, Georgia. She can be reached at her office (for appointments etc.) via phone at (678) 312-3356.

NPI number for Jaletta L Long is 1245306968 and her current mailing address is Po Box 4019, Atlanta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245306968.

Contact Information

Jaletta L Long, RN MN CFNP
1000 Medical Center Blvd,
Lawrenceville, GA 30046-7694
(678) 312-3356
Not Available

Map and Direction




Physician's Profile

Full NameJaletta L Long
GenderFemale
SpecialityPediatrics
Location1000 Medical Center Blvd, Lawrenceville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245306968
  • Provider Enumeration Date: 11/27/2006
  • Last Update Date: 03/26/2015

Medical Identifiers

Medical identifiers for Jaletta L Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245306968NPI-NPPES
000864366AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics RN060596 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaletta L Long is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jaletta L Long, RN MN CFNP
Po Box 4019,
Atlanta, GA 30302-4019

Ph: (404) 413-1191
Jaletta L Long, RN MN CFNP
1000 Medical Center Blvd,
Lawrenceville, GA 30046-7694

Ph: (678) 312-3356

Reviews and Comments


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Keyana Renee Washington, M.D.
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