Individual provider · Type 1 NPI
Kaylisa Jane Peguero, NP
Family Nurse Practitioner · Atlanta, GA
NPI number
1679387666
Active
Practice location
550 Peachtree St NE
Atlanta, GA 30308-2212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | APRN-NP323827 (GA) |
| Family Nurse Practitioner Primary | 363LF0000X | RN323827 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1679387666
Kaylisa Jane Peguero, NP's National Provider Identifier is 1679387666, issued on Feb 3, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atlanta, GA. The record was last updated on Oct 24, 2025.