Individual provider · Type 1 NPI

Quyen Le Ta, NP

Nurse Practitioner · Cartersville, GA

NPI number 1003264250 Active

Practice location

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129

Mailing address

2628 Myrtlewood Ln NW
Kennesaw, GA 30144-7395

Other practice locations

  • 2628 Myrtlewood Ln NW, Kennesaw, GA 30144-7395 · (404) 324-9413

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN211447 (GA)
Family Nurse Practitioner 363LF0000XRN211447 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003264250

Quyen Le Ta, NP's National Provider Identifier is 1003264250, issued on May 28, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cartersville, GA. The record was last updated on Sep 25, 2025.