Provider Demographics
NPI:1972181576
Name:ABLE, SENA AMANDINE (DNP, FNP-BC, CNL)
Entity Type:Individual
Prefix:
First Name:SENA
Middle Name:AMANDINE
Last Name:ABLE
Suffix:
Gender:F
Credentials:DNP, FNP-BC, CNL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3214 POST WOODS DR APT J
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3471
Mailing Address - Country:US
Mailing Address - Phone:404-645-3119
Mailing Address - Fax:
Practice Address - Street 1:1050 EAGLES LANDING PKWY STE 101
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-9019
Practice Address - Country:US
Practice Address - Phone:404-251-2850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-01
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN275306163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse