Individual provider · NPI-1

Corey Wilson Anderson, FNP

Nurse Practitioner, Family · Stockbridge, GA

NPI number1316839871
StatusActive
Last updated in NPPESJul 18, 2025

Details

NPI
1316839871
Entity type
Individual (NPI-1)
Name
Corey Wilson Anderson
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 18, 2025
Certification date
Jul 18, 2025
Last updated
Jul 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN125889GAYes

Practice location

248 Acadian Way
Stockbridge, GA 30281-6051

Phone 678-471-4720

Mailing address

248 Acadian Way
Stockbridge, GA 30281-6051

Phone 678-471-4720

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