Individual provider · Type 1 NPI

Dana Noel Rudisill

Gerontology Nurse Practitioner · Atlanta, GA

NPI number 1457079709 Active

Practice location

95 Collier Rd NW Ste 4075
Atlanta, GA 30309-1751

Call (404) 355-3200 Map

Mailing address

199 14th St NE Apt 2109
Atlanta, GA 30309-3690

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XNP311059 (GA)
Acute Care Nurse Practitioner 363LA2100XRN311059 (GA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1457079709

Dana Noel Rudisill's National Provider Identifier is 1457079709, issued on Aug 22, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Atlanta, GA. The record was last updated on Aug 3, 2026.