JEFFREY RYAN WICKER NPI 1245990787

NPI Information

NPI: 1245990787
Provider Name: JEFFREY RYAN WICKER
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
951 GLENWOOD AVE SE UNIT 1710
ATLANTA, GA
ZIP 30316
Phone: (404) 387-3012
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Jeffrey Ryan Wicker is a critical care medicine nurse practitioner in Atlanta, GA. Jeffrey Ryan Wicker NPI is 1245990787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

951 GLENWOOD AVE SE UNIT 1710
ATLANTA, GA
ZIP 30316-890
Phone: (404) 387-3012

The enumeration date for this NPI number is 12/24/2021 and was last updated on 4/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LC0200X	Nurse Practitioner	Critical Care Medicine	192893	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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