Individual provider · Type 1 NPI

Ashley Smallwood, CPNP

Pediatric Nurse Practitioner · Stone Mountain, GA

NPI number 1417415738 Active

Practice location

5582 Memorial Dr
Stone Mountain, GA 30083-3215

Mailing address

706 Dixie St Ste 220
Carrollton, GA 30117-3889

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X197976 (GA)
Registered Nurse 163W00000XRN197976 (GA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1417415738

Ashley Smallwood, CPNP's National Provider Identifier is 1417415738, issued on Mar 5, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Stone Mountain, GA. The record was last updated on Sep 1, 2026.