Individual provider · Type 1 NPI

Kaitlin Divinnie, AGPCNP

Primary Care Nurse Practitioner · Atlanta, GA

NPI number 1174997647 Active

Practice location

1365 Clifton Rd NE Bldg B
Atlanta, GA 30322-3736

Call (404) 778-3184 Map

Mailing address

3518 Preserve Dr SE
Atlanta, GA 30339-3736

Other practice locations

  • 3518 Preserve Dr SE, Atlanta, GA 30339-3736 · (615) 973-0905

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN224677 (GA)
Primary Care Nurse Practitioner Primary 363LP2300XRN224677 (GA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1174997647

Kaitlin Divinnie, AGPCNP's National Provider Identifier is 1174997647, issued on Nov 21, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Atlanta, GA. The record was last updated on Jul 21, 2022.