Individual provider · Type 1 NPI
Kelley B. Jimison, CPNP
Pediatric Nurse Practitioner · Atlanta, GA
NPI number
1891715074
Active
Practice location
30 Jesse Hill Jr Drive
Atlanta, GA 30303
Mailing address
2133 Bishop Creek Dr
Marietta, GA 30062-6311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 140352 (GA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1891715074
Kelley B. Jimison, CPNP's National Provider Identifier is 1891715074, issued on Jul 20, 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 Mar 11, 2016.