Individual provider · Type 1 NPI

Gloria V. Smikle, CPNP

Pediatric Nurse Practitioner · Atlanta, GA

NPI number 1194916700 Active

Practice location

35 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3032

Fax (404) 778-1467

Mailing address

49 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3049

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN060906 (GA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1194916700

Gloria V. Smikle, CPNP's National Provider Identifier is 1194916700, issued on Aug 8, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Atlanta, GA. The record was last updated on Aug 8, 2007.