Karlie Shea Porter, CPNP
Nurse Practitioner, Pediatrics in Snellville, GA. Individual provider (NPI-1).
NPI number1457086803
StatusActive
Last updated in NPPESJul 20, 2022
Details
- NPI
- 1457086803
- Entity type
- Individual (NPI-1)
- Name
- Karlie Shea Porter
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2022
- Certification date
- Jul 20, 2022
- Last updated
- Jul 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | RN263756 | GA | Yes |
Practice location
1700 Tree Ln Ste 110Snellville, GA 30078-6749
Phone 770-972-0860 · Fax 770-972-0850
Mailing address
1700 Tree Ln Ste 110Snellville, GA 30078-6749
Phone 770-972-0860 · Fax 770-972-0850
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