Provider Demographics
NPI:1710602180
Name:JONASSAINT, MADLINA (MSHA, BSN, RN, CPN)
Entity Type:Individual
Prefix:
First Name:MADLINA
Middle Name:
Last Name:JONASSAINT
Suffix:
Gender:F
Credentials:MSHA, BSN, RN, CPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4208 ALDEN PARK DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-1402
Mailing Address - Country:US
Mailing Address - Phone:678-670-8037
Mailing Address - Fax:
Practice Address - Street 1:4208 ALDEN PARK DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-1402
Practice Address - Country:US
Practice Address - Phone:678-670-8037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty