Individual provider · NPI-1

Alexandra Maria Ackerman, NP

Nurse Practitioner · Newnan, GA

NPI number1669100418
StatusActive
Last updated in NPPESJan 10, 2025

Details

NPI
1669100418
Entity type
Individual (NPI-1)
Name
Alexandra Maria Ackerman
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 10, 2022
Certification date
Jan 10, 2025
Last updated
Jan 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN283458GAYes
207Q00000X Family MedicineRN283458GA

Practice location

110 Oak Hill Blvd Ste 200
Newnan, GA 30265-2313

Phone 770-304-0987

Mailing address

531 Witcher Rd
Newnan, GA 30263-4640

Phone 262-758-1654

Other practice locations

600 Celebrate Life Pkwy
Newnan, GA 30265-8001

Phone 770-343-7692

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in Newnan, GA