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NPI Code Detail

MEDICARE: MARCELLA ANN KISLING

MEDICARE: MARCELLA ANN KISLING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse0001146955VA

General Provider Information

NPI Number : 1407711294
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCELLA ANN KISLING
Provider Business Mailing Address
First Line : 255 E PACES FERRY RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30305-2233
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 255 E PACES FERRY RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30305-2233
Country : US
Telephone Number : 757-604-4756
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2025
Last Update Date : 12/23/2025

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Directions to “ MARCELLA ANN KISLING ” Practice Location

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