Individual provider · Type 1 NPI

Diamond Wilder, ACNPC-AG

Acute Care Nurse Practitioner · Braselton, GA

NPI number 1245149368 Active

Practice location

1400 River Pl
Braselton, GA 30517-5600

Mailing address

2550 Blackmon Dr Apt 125
Decatur, GA 30033-6158

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAPRN-NP295121 (GA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1245149368

Diamond Wilder, ACNPC-AG's National Provider Identifier is 1245149368, issued on Sep 3, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Braselton, GA. The record was last updated on Sep 3, 2026.