Individual provider · Type 1 NPI

Jeffrey Ryan Wicker

Nurse Practitioner · Atlanta, GA

NPI number 1245990787 Active

Practice location

275 Collier Rd NW Ste 300
Atlanta, GA 30309-1740

Mailing address

951 Glenwood Ave SE Unit 1710
Atlanta, GA 30316-1890

Other practice locations

  • 951 Glenwood Ave SE Unit 1710, Atlanta, GA 30316-1890 · (404) 387-3012

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Nurse Practitioner 363LC0200X192893 (GA)
Nurse Practitioner Primary 363L00000X192893 (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 1245990787

Jeffrey Ryan Wicker's National Provider Identifier is 1245990787, issued on Dec 24, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Atlanta, GA. The record was last updated on Dec 23, 2025.