Individual provider · Type 1 NPI

Jacob William Goergen, RN, ACNP-BC

Acute Care Nurse Practitioner · Atlanta, GA

NPI number 1699019604 Active

Practice location

550 Peachtree St NE, Office 3304 Davis-Fischer Building
Atlanta, GA 30308-2208

Mailing address

157 Lake Wellington Dr
Kingsland, GA 31548-5733

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XRN226582 (GA)
Acute Care Clinical Nurse Specialist 364SA2100XNP226582 (GA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1699019604

Jacob William Goergen, RN, ACNP-BC's National Provider Identifier is 1699019604, issued on Nov 15, 2012. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Atlanta, GA. The record was last updated on Jul 23, 2026.