Individual provider · Type 1 NPI

Marla Gwen Poole, APRN

Nurse Practitioner · Moultrie, GA

NPI number 1952953689 Active

Practice location

780 26th Ave SE
Moultrie, GA 31768-6799

Fax (229) 502-9733

Mailing address

PO Box 1387
Moultrie, GA 31776-1387

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN326199 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1952953689

Marla Gwen Poole, APRN's National Provider Identifier is 1952953689, issued on Jul 12, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Moultrie, GA. The record was last updated on Sep 4, 2025.