Provider Demographics
NPI:1598012098
Name:JULES-VILLEFRANCHE, MYRLANDE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:MYRLANDE
Middle Name:
Last Name:JULES-VILLEFRANCHE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3539 ESTATES LANDING DR NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-3750
Mailing Address - Country:US
Mailing Address - Phone:770-517-4772
Mailing Address - Fax:
Practice Address - Street 1:341 PONCE DE LEON AVE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308
Practice Address - Country:US
Practice Address - Phone:404-616-2400
Practice Address - Fax:404-616-9732
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN175271363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily