NPI age
14 years
Enumerated 2012-02-21
Across 43 active nurse practitioner providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | 209.009364 | IL LICENSE NUMBER |
| 01 (GA) | 256427 | GEORGIA RN LICENSE |
| 01 (GA) | NCO-000006 | GEORGIA APN LICENSE |
Part of a multi-provider practice. 194 other active providers share this practice address in NPPES.
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