KELLY BROOKS MACDONALD CPNP-AC NPI 1275178915

NPI Information

NPI: 1275178915
Provider Name: KELLY BROOKS MACDONALD, CPNP-AC
Classification: Nurse Practitioner - 363LP0222X
Entity Type: Individual

Specialization: Pediatrics, Critical Care

Address:
1405 CLIFTON RD NE FL 4
ATLANTA, GA
ZIP 30322
Phone: (703) 609-9148
Get Directions

Kelly Brooks Macdonald, CPNP-AC is a pediatrics and critical care nurse practitioner in Atlanta, GA. Kelly Brooks Macdonald, CPNP-AC NPI is 1275178915. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1405 CLIFTON RD NE FL 4
ATLANTA, GA
ZIP 30322-052
Phone: (703) 609-9148

The enumeration date for this NPI number is 11/15/2019 and was last updated on 8/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN285784	GEORGIA	No
2	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	RN285784	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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