Individual provider · Type 1 NPI
Mylene Lilian Gonzales
Gerontology Nurse Practitioner · Johns Creek, GA
NPI number
1396345948
Active
Practice location
4700 Ogeechee Dr
Johns Creek, GA 30022-1095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN249672 (GA) |
| Acute Care Nurse Practitioner | 363LA2100X | RN249672 (GA) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1396345948
Mylene Lilian Gonzales's National Provider Identifier is 1396345948, issued on Oct 31, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Johns Creek, GA. The record was last updated on Dec 24, 2025.