Individual provider · Type 1 NPI

Amisa Jiwani, APRN

Pediatric Nurse Practitioner · Forest Park, GA

NPI number 1407641764 Active

Practice location

4905 Courtney Dr
Forest Park, GA 30297-1427

Fax (404) 362-0808

Other practice locations

  • 4166 Buford Hwy NE Ste 11021103, Atlanta, GA 30345-1081 · (404) 366-3636

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN312490 (GA)

Pediatric Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1407641764

Amisa Jiwani, APRN's National Provider Identifier is 1407641764, issued on Apr 9, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Forest Park, GA. The record was last updated on Apr 9, 2025.