Elizabeth Persephone Andersen, FNP-BC
Nurse Practitioner, Family in Stockbridge, GA. Individual provider (NPI-1).
NPI number1457818015
StatusActive
Last updated in NPPESApr 16, 2026
Details
- NPI
- 1457818015
- Entity type
- Individual (NPI-1)
- Name
- Ms. Elizabeth Persephone Andersen
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2019
- Certification date
- Apr 16, 2026
- Last updated
- Apr 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2018080794 | GA | Yes |
| 163W00000X | Registered Nurse | RN228808 | GA |
Practice location
1050 Eagles Landing PkwyStockbridge, GA 30281-9018
Phone 770-507-0070
Mailing address
1100 Johnson Ferry RdSte 510
Sandy Springs, GA 30342-1743
Phone 404-419-1165
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