| Faneshia Peterson, FNP | |
|
2005 Mount Zion Rd, Morrow, GA 30260-3313 | |
| (770) 919-5250 | |
| Not Available |
| Full Name | Faneshia Peterson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2005 Mount Zion Rd, Morrow, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942898473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 259066 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 259066 (Georgia) | Primary |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Entity Name | Wellstreet Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Faneshia Peterson, FNP 1850 Hudson Bridge Rd, Stockbridge, GA 30281-7250 Ph: (470) 641-5996 | Faneshia Peterson, FNP 2005 Mount Zion Rd, Morrow, GA 30260-3313 Ph: (770) 919-5250 |
Yanique Latoya Lewis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1467 John Robert Dr Ste B, Morrow, GA 30260 Phone: 770-293-8050 | |
Yvette Monique Ash, F.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6053 Jonesboro Rd, Morrow, GA 30260 Phone: 707-824-4343 | |
Emmanuela C Conseillant, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 Mount Zion Rd Ste J, Morrow, GA 30260 Phone: 404-883-9140 | |
Bessie Koryan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6392 Murphy Dr, Morrow, GA 30260 Phone: 770-968-1310 | |
Mr. Patrick Washington, N.P.-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5809 N Lake Dr # 1000, Morrow, GA 30260 Phone: 678-466-5591 Fax: 678-466-4944 | |
Ashley Elaine Martin, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6635 Lake Dr, Morrow, GA 30260 Phone: 770-968-1323 Fax: 770-968-4556 | |
Susan Sanner, APRN-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2777 Priscilla Way, Morrow, GA 30260 Phone: 770-961-4866 Fax: 770-961-4866 |