Individual provider · Type 1 NPI

Kelley Sue Wharton, NP

Family Nurse Practitioner · Lilburn, GA

NPI number 1902061864 Active

Practice location

4120 Five Forks Trickum Rd SW, Suite 105
Lilburn, GA 30047-3130

Fax (770) 921-6313

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN113675 (GA)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1902061864

Kelley Sue Wharton, NP's National Provider Identifier is 1902061864, issued on Jul 21, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lilburn, GA. The record was last updated on Jul 21, 2008.