Organization · Type 2 NPI
Evolutio Wellness LLC
Nurse Practitioner · Stockbridge, GA
Practice location
1325 Rock Quarry Rd Ste 100
Stockbridge, GA 30281-5029
Mailing address
160 Glen Eagle Way
Mcdonough, GA 30253-4227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
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 1487522546
Evolutio Wellness LLC's National Provider Identifier is 1487522546, issued on Oct 29, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stockbridge, GA. The record was last updated on Oct 29, 2025.