Provider Demographics
NPI:1245470442
Name:MCCARVER, KRISTIN M (CNP)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:M
Last Name:MCCARVER
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Gender:F
Credentials:CNP
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Mailing Address - Street 1:3495 PIEDMONT CENTER
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:404-686-4696
Practice Address - Street 1:2400 MT. ZION PARKWAY
Practice Address - Street 2:KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236
Practice Address - Country:US
Practice Address - Phone:404-686-8862
Practice Address - Fax:404-686-4696
Is Sole Proprietor?:No
Enumeration Date:2009-02-27
Last Update Date:2011-03-22
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Provider Licenses
StateLicense IDTaxonomies
GARN142303363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN142303OtherSTATE OF GEORGIA NURSING LICENSE