Individual provider · Type 1 NPI

Patty J. Wilson, CPNP

Pediatric Nurse Practitioner · Atlanta, GA

NPI number 1720046584 Active

Practice location

1001 Johnson Ferry Rd NE
Atlanta, GA 30342-1605

Fax (404) 785-4969

Mailing address

2608 Kylay Ln
Buford, GA 30519-7962

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR103701 (GA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1720046584

Patty J. Wilson, CPNP's National Provider Identifier is 1720046584, issued on May 2, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.