Individual provider · Type 1 NPI

Tara Buckhalter, CPNP

Pediatric Nurse Practitioner · Atlanta, GA

NPI number 1669071866 Active

Practice location

1150 Lake Hearn Drive
Atlanta, GA 30342

Call (954) 594-6520 Map

Mailing address

4263 Glengary Drive NE
Atlanta, GA 30342

Other practice locations

  • 1405 Clifton Rd NE, Atlanta, GA 30322-1060 · (404) 785-6330

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN212433 (GA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1669071866

Tara Buckhalter, CPNP's National Provider Identifier is 1669071866, issued on Oct 20, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Atlanta, GA. The record was last updated on Oct 1, 2024.