Provider Demographics
NPI:1871902601
Name:GREER-LAWRENCE, JEAN SMITH (APN-C)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:SMITH
Last Name:GREER-LAWRENCE
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:JEAN
Other - Middle Name:SMITH
Other - Last Name:GREER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15820 THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-0973
Mailing Address - Country:US
Mailing Address - Phone:912-596-2155
Mailing Address - Fax:
Practice Address - Street 1:3747 ROSWELL RD STE 216
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6227
Practice Address - Country:US
Practice Address - Phone:770-973-2272
Practice Address - Fax:770-973-9245
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA145206363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health