Healthcare Provider Details

I. General information

NPI: 1881695823
Provider Name (Legal Business Name): BETTY DARLENE CARNES NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2005
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 PEACHTREE DUNWOODY RD NE SUITE B 420
ATLANTA GA
30328-5382
US

IV. Provider business mailing address

5901 PEACHTREE DUNWOODY RD NE SUITE B 420
ATLANTA GA
30328-5382
US

V. Phone/Fax

Practice location:
  • Phone: 404-252-9751
  • Fax: 678-990-5763
Mailing address:
  • Phone: 404-252-9751
  • Fax: 678-990-5763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberRN084947
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number53-79956-082
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR084947
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: