Provider Demographics
NPI:1073045829
Name:ESNARD, ALESSANDRA (FNP-C)
Entity type:Individual
Prefix:
First Name:ALESSANDRA
Middle Name:
Last Name:ESNARD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 COLISEUM DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31217-0104
Mailing Address - Country:US
Mailing Address - Phone:478-226-4086
Mailing Address - Fax:478-226-4113
Practice Address - Street 1:535 COLISEUM DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31217-0104
Practice Address - Country:US
Practice Address - Phone:478-226-4086
Practice Address - Fax:478-226-4113
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-31
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN288421363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily