Individual provider · Type 1 NPI

Kennon Howard McCollum, MSN

Nurse Practitioner · Stockbridge, GA

NPI number 1427036409 Active

Practice location

1045 Southcrest Dr, Suite 200
Stockbridge, GA 30281-6113

Fax (678) 289-8756

Mailing address

1835 Savoy Dr, Suite 300
Atlanta, GA 30341-1072

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN102128 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1427036409

Kennon Howard McCollum, MSN's National Provider Identifier is 1427036409, issued on Jan 9, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stockbridge, GA. The record was last updated on Aug 19, 2020.