Provider Demographics
NPI:1699115030
Name:FINLEY-BRUNO, JOYLETTA ROBEANNA (NP)
Entity type:Individual
Prefix:MRS
First Name:JOYLETTA
Middle Name:ROBEANNA
Last Name:FINLEY-BRUNO
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:PO BOX 742616
Mailing Address - Street 2:NORTHEAST GEORGIA PHYSICIANS GROUP- INPATIENT NEUROLOGY
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-2616
Mailing Address - Country:US
Mailing Address - Phone:770-219-6000
Mailing Address - Fax:770-219-6021
Practice Address - Street 1:743 SPRING ST NE
Practice Address - Street 2:NORTHEAST GEORGIA PHYSICIANS GROUP-INPATIENT NEUROLOGY
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3715
Practice Address - Country:US
Practice Address - Phone:770-219-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-30
Last Update Date:2016-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH067725-23363L00000X
GARN178980363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1021946Medicaid
GA1699115030Medicaid
NH3086934Medicaid