Ketsia Dajuste

Physician Assistant · Winder, GA

Individual Active NPI

NPI number 1477313419

Practice location

24 Amherst Dr
Winder, GA 30680-7463
Phone
(470) 900-4368

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NPI record

NPI
1477313419
Entity type
Individual (Type 1)
Enumeration date
March 19, 2024
Last updated
May 26, 2026
Certified
May 26, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 13957 GA
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

1496 Castleberry Dr
Buford, GA 30518-5069
Phone
(678) 200-7938

About Ketsia Dajuste

Ketsia Dajuste is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 24 Amherst Dr, Winder, GA 30680-7463. The NPI number 1477313419 was assigned on March 19, 2024 and the record was last updated on May 26, 2026.

Ketsia Dajuste lists a license in the registry: #13957 (GA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ketsia Dajuste?

The NPI number is 1477313419.

What is the phone number of Ketsia Dajuste?

The phone number listed for the practice location is (470) 900-4368.

Where is Ketsia Dajuste located?

24 Amherst Dr, Winder, GA 30680-7463.

What is the taxonomy code for Ketsia Dajuste?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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