NPI age
19 years
Enumerated 2006-11-08
Across 8826 active nurse practitioner providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RN278076 | RN LICENSE |
| 01 (GA) | RN278076 | APRN LICENSE |
| 01 (AL) | 1-117580 | RN LICENSE |
| 01 (KS) | 55532 | RNA LICENSE |
| 01 (AL) | 1-117580 | CRNP LICENSE |
| 01 (KS) | 1391784012 | RN LICENSE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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