Individual provider · Type 1 NPI
Marianne Pettis
Family Nurse Practitioner · Atlanta, GA
NPI number
1366057366
Active
Practice location
2429 Mlk Jr Dr SW
Atlanta, GA 30311-1713
Mailing address
2429 Martin Luther King Jr Dr SW
Atlanta, GA 30311-1713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 218380 (GA) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
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About NPI 1366057366
Marianne Pettis's National Provider Identifier is 1366057366, issued on Sep 15, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atlanta, GA. The record was last updated on Sep 15, 2020.