Individual provider · Type 1 NPI

Marissa Marie Galan Ravan, NP

Nurse Practitioner · Stockbridge, GA

NPI number 1235742503 Active

Practice location

1365 Rock Quarry Rd Ste 202
Stockbridge, GA 30281-5023

Fax (770) 771-6589

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN268489 (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 1235742503

Marissa Marie Galan Ravan, NP's National Provider Identifier is 1235742503, issued on Aug 26, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stockbridge, GA. The record was last updated on Oct 17, 2025.