Johanne Dastine-Coriolan, NP
NPI 1063009470 · Gerontology Nurse Practitioner · Loganville, GA
Johanne Dastine-Coriolan, NP is a Gerontology Nurse Practitioner provider in Loganville, GA (NPI 1063009470).
Provider details
- NPI number
- 1063009470
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN208229 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-12-31
- Last updated
- 2020-12-31
- Certified
- 2020-12-31
Frequently asked questions
- What is Johanne Dastine-Coriolan's NPI number?
- Johanne Dastine-Coriolan's National Provider Identifier (NPI) is 1063009470, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johanne Dastine-Coriolan's specialty?
- Johanne Dastine-Coriolan is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Johanne Dastine-Coriolan located?
- Johanne Dastine-Coriolan's practice location on file with NPPES is 4344 Grove Lake St, Loganville, GA 30052-8155.
- What is Johanne Dastine-Coriolan's phone number?
- The practice phone number listed in the NPPES registry for Johanne Dastine-Coriolan is (770) 696-1350.
- Is Johanne Dastine-Coriolan's NPI active?
- Yes — Johanne Dastine-Coriolan's NPI (1063009470) is active in the NPPES registry as of the last update on 2020-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.