Individual provider · Type 1 NPI
Ingrid Viera Fleetwood, NP
Nurse Practitioner · Conyers, GA
Practice location
1765 Parker Rd SE Ste B240
Conyers, GA 30094-6673
Mailing address
1765 Parker Rd SE
Conyers, GA 30094-6652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN250470 (GA) |
| Nurse Practitioner Primary | 363L00000X | RN250470 (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 1992508899
Ingrid Viera Fleetwood, NP's National Provider Identifier is 1992508899, issued on Mar 28, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Conyers, GA. The record was last updated on Aug 12, 2025.