| Doctor Name: | MAKI S JERDEN |
| NPI Number: | 1063476851 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 003355 |
| Business Practice Address: | 9590 Roberts Dr Sandy Springs, GA - 303502051 |
| Business Phone Number: | 4045389570 |
| Business Fax Number: | |
| Mailing Address: | 9590 Roberts Dr, SANDY SPRINGS |
| State: | GA |
| Postal Code: | 303502051 |
| Phone Number: | 4045389570 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2006 |
| NPI Last Update Date: | 07/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 003355 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |