| Mrs Latasha Lasseter Martin, PMHNP-BC, FNP-C | |
|
400 Technology Ct Se Ste J, Smyrna, GA 30082-5237 | |
| (770) 431-2354 | |
| Not Available |
| Full Name | Mrs Latasha Lasseter Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 400 Technology Ct Se Ste J, Smyrna, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497296263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN198732 (Georgia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN198732 (Georgia) | Primary |
| Entity Name | Personal Recovery Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Latasha Lasseter Martin, PMHNP-BC, FNP-C 3726 Lake Enclave Way, Atlanta, GA 30349-1890 Ph: (404) 273-9683 | Mrs Latasha Lasseter Martin, PMHNP-BC, FNP-C 400 Technology Ct Se Ste J, Smyrna, GA 30082-5237 Ph: (770) 431-2354 |
Dr. Takiyah Jones, DNP, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 Highlands Pkwy Se Ste 400, Smyrna, GA 30082 Phone: 888-588-8995 Fax: 510-756-0812 | |
Ms. Denise Danielle Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3295 S Cobb Dr Se, Smyrna, GA 30080 Phone: 678-723-6671 | |
Brooke L Kahler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3948 Central Garden Ct Se, Smyrna, GA 30080 Phone: 785-806-8612 | |
Kelly Ann Borders, APRN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4441 Atlanta Rd Se Ste 319, Smyrna, GA 30080 Phone: 770-792-6262 | |
Erin Ferguson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4581 S Cobb Dr Se Ste 100, Smyrna, GA 30080 Phone: 770-801-5000 | |
Mrs. Yuri Ayana Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2994 Atlanta Rd Se, Smyrna, GA 30080 Phone: 770-435-2178 | |
Priscilla Elyse Colpo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3634 Highlands Pkwy Se, Smyrna, GA 30082 Phone: 770-970-0858 |