Individual provider · Type 1 NPI

Clayton Kenneth Rose, AGACNP

Gerontology Nurse Practitioner · Atlanta, GA

NPI number 1346006699 Active

Practice location

5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764

Mailing address

216 Little Brook Ln
Woodstock, GA 30188-1938

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200XRN290383 (GA)
Gerontology Nurse Practitioner Primary 363LG0600XNP290383 (GA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1346006699

Clayton Kenneth Rose, AGACNP's National Provider Identifier is 1346006699, issued on Feb 26, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Atlanta, GA. The record was last updated on May 20, 2026.