NPI age
19 years
Enumerated 2007-02-22
Across 929 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 20060526 | PEDS NURSING CERTIFICATIO |
| 01 (GA) | 472261189 | TAX ID |
| 01 (GA) | 581238651 | TAX ID # |
| 01 (GA) | NCO000006 | NATIONAL BD OF PED NURSE |
| 01 (GA) | RN159492 | LICENSE # |
| 05 (GA) | 003134388B |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →