Organization · Type 2 NPI

Procare Network

Nurse Practitioner · Fayetteville, GA

NPI number 1508695495 Active

Practice location

175 Carnegie Pl Ste 113
Fayetteville, GA 30214-7903

Fax (470) 935-2626

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone 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…

4 other providers at this address

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About NPI 1508695495

Procare Network's National Provider Identifier is 1508695495, issued on Jul 29, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fayetteville, GA. The record was last updated on Aug 18, 2025.