Provider Demographics
NPI:1538235114
Name:GARRAMONE, JOAN MARY (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:MARY
Last Name:GARRAMONE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3581 MANSIONS PKWY
Mailing Address - Street 2:
Mailing Address - City:BERKELEY LAKE
Mailing Address - State:GA
Mailing Address - Zip Code:30096-2961
Mailing Address - Country:US
Mailing Address - Phone:770-448-5328
Mailing Address - Fax:
Practice Address - Street 1:3850 PLEASANT HILL RD
Practice Address - Street 2:SUITE B
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-4807
Practice Address - Country:US
Practice Address - Phone:678-584-9223
Practice Address - Fax:678-584-9221
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN061871NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health