Provider Demographics
NPI:1164900551
Name:HASLEM, NATALIE DIONNE (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:DIONNE
Last Name:HASLEM
Suffix:
Gender:F
Credentials:PMHNP-BC
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Other - First Name:
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Mailing Address - Street 1:6554 BRANDEMERE WAY
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30168-5339
Mailing Address - Country:US
Mailing Address - Phone:770-941-5164
Mailing Address - Fax:770-941-5164
Practice Address - Street 1:4171 MARIETTA ST STE 200
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-2696
Practice Address - Country:US
Practice Address - Phone:770-943-8701
Practice Address - Fax:770-943-8936
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN214143363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health