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NPI Code Detail

MEDICARE: KRISTINA EDWARDS RN

MEDICARE:   KRISTINA  EDWARDS  RN
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
1363LW0102XWomen's Health Nurse PractitionerNP004776GA
2363LW0102XWomen's Health Nurse Practitioner9568990FL

General Provider Information

NPI Number : 1861212078
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA EDWARDS RN
Provider Business Mailing Address
First Line : 1520 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30322-4201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1520 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30322-4201
Country : US
Telephone Number : 404-727-7980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2024
Last Update Date : 04/27/2026

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