Healthcare Provider Details

I. General information

NPI: 1891615837
Provider Name (Legal Business Name): MONET REBECCA WEBB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 GLENLAKE PKWY STE 420
SANDY SPRINGS GA
30328-3489
US

IV. Provider business mailing address

3719 IVY COTTAGE DR
SNELLVILLE GA
30039-1110
US

V. Phone/Fax

Practice location:
  • Phone: 404-595-2210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP295109
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: