Individual provider · Type 1 NPI

Hallie Anderson Nezafat, AG-ACNP-BC

Gerontology Nurse Practitioner · Atlanta, GA

NPI number 1255919692 Active

Practice location

5671 Peachtree Dunwoody Rd
Atlanta, GA 30342-5000

Mailing address

4600 Roswell Rd Bldg I521
Atlanta, GA 30342-3136

Other practice locations

  • 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 · (404) 778-5000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XRN270557 (GA)
Gerontology Nurse Practitioner Primary 363LG0600XNP270557 (GA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1255919692

Hallie Anderson Nezafat, AG-ACNP-BC's National Provider Identifier is 1255919692, issued on Mar 29, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Atlanta, GA. The record was last updated on Sep 1, 2026.