Individual provider · Type 1 NPI

Charissa Deckelmann, CPNP

Pediatric Nurse Practitioner · Atlanta, GA

NPI number 1235658154 Active

Practice location

1405 Clifton Rd NE
Atlanta, GA 30322-1060

Fax (404) 785-1994

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN292385 (GA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1235658154

Charissa Deckelmann, CPNP's National Provider Identifier is 1235658154, issued on Sep 12, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Atlanta, GA. The record was last updated on Jun 6, 2022.