MEDICARE: MS. WHITNEY NICOLE SNOW-MIELKE FNP

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
1	363LF0000X	Family Nurse Practitioner	F06180317	GA

General Provider Information

NPI Number	:	1619449618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. WHITNEY NICOLE SNOW-MIELKE FNP

Provider Business Mailing Address
First Line	:	1185 COLLIER RD NW APT 2529
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-8293
Country	:	US
Telephone Number	:	404-285-3095
Fax Number	:

Provider Business Practice Location Address
First Line	:	3950 AUSTELL RD
Second Line	:
City	:	AUSTELL
State	:	GA
Zip	:	30106-1121
Country	:	US
Telephone Number	:	770-702-1806
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2019
Last Update Date	:	02/04/2026

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