Individual provider · Type 1 NPI
John Alton Pettay, FNP C
Family Nurse Practitioner · Snellville, GA
NPI number
1902851645
Active
Practice location
2295 Henry Clower Blvd, Suite 101
Snellville, GA 30078
Fax (770) 979-3782
Mailing address
1105 Pebble Bend Drive
Grayson, GA 30017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN107083 NP (GA) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- John E. West, M.d., P.c.Family Medicine Physician Snellville, GA NPI 1124126420
- Akil A. Patel, DDSGeneral Practice Dentistry Snellville, GA NPI 1528035011
- Allya Allaway, COTA/LOccupational Therapy Assistant Snellville, GA NPI 1750831590
- Casi JohnsonSpeech-Language Pathologist Snellville, GA NPI 1831638147
Other family nurse practitioner providers in Snellville
- Micheal Tyrone WrightFamily Nurse Practitioner Snellville, GA NPI 1053899724
- Cassandra A. Westbrook, FNP-CFamily Nurse Practitioner Snellville, GA NPI 1104355908
- Myrlene Desrosiers, FNPFamily Nurse Practitioner Snellville, GA NPI 1104382084
- Evelyn Vianey Molina, APRNFamily Nurse Practitioner Snellville, GA NPI 1104520410
- Cynthia Angella Vaughan, NPFamily Nurse Practitioner Snellville, GA NPI 1124770136
- Yuan Hu, NPFamily Nurse Practitioner Snellville, GA NPI 1205198553
- Kasey Lila Lieu, FNP-CFamily Nurse Practitioner Snellville, GA NPI 1245716505
- Carolyn Turner Lawson, FNP-CFamily Nurse Practitioner Snellville, GA NPI 1245740372
About NPI 1902851645
John Alton Pettay, FNP C's National Provider Identifier is 1902851645, issued on May 23, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Snellville, GA. The record was last updated on Jan 13, 2009.