Individual provider · Type 1 NPI
Ladeidra Nicole Wooten, RN
Case Management Registered Nurse · Snellville, GA
NPI number
1912770249
Active
Practice location
4250 Antelope Ln
Snellville, GA 30039-5694
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | RN243005 (GA) |
| Pastoral Counselor | 101YP1600X | RN243005 (GA) |
| Nurse Massage Therapist (NMT) | 163WM1400X | MT013436 (GA) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN243005 (GA) |
| Health & Wellness Coach | 171400000X | RN243005 (GA) |
| Case Manager/Care Coordinator | 171M00000X | RN243005 (GA) |
| Reflexologist | 173C00000X | RN243005 (GA) |
| Health Educator | 174H00000X | RN243005 (GA) |
| Integrative Medicine Physician | 202D00000X | RN243005 (GA) |
Case Management Registered Nurse: Definition to come...
About NPI 1912770249
Ladeidra Nicole Wooten, RN's National Provider Identifier is 1912770249, issued on Oct 30, 2023. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Snellville, GA. The record was last updated on Mar 31, 2025.