Individual provider · Type 1 NPI
Mary Jo Koller, FNP-BC
Nurse Practitioner · Rome, GA
Practice location
504 Redmond Rd NW
Rome, GA 30165-1416
Fax (706) 290-2721
Mailing address
221 Technology Pkwy NW
Rome, GA 30165-1369
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN218765 (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 1124055686
Mary Jo Koller, FNP-BC's National Provider Identifier is 1124055686, issued on Jun 28, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rome, GA. The record was last updated on Jun 13, 2016.