Individual provider · Type 1 NPI
Alicia Marie Conn, FNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Blackshear, GA
NPI number
1538604368
Active
Practice location
6205 Fox Run Cir
Blackshear, GA 31516-5322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN230326 (GA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 000000 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1538604368
Alicia Marie Conn, FNP, PMHNP-BC's National Provider Identifier is 1538604368, issued on Jan 3, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Blackshear, GA. The record was last updated on Apr 14, 2025.