Individual
JULIE NOELLE KNISELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5582 MEMORIAL DR, STONE MOUNTAIN, GA 30083-3215
(404) 298-8998
Mailing address
6002 PROFESSIONAL PKWY, DOUGLASVILLE, GA 30134-5600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN277201
GA
Other
Enumeration date
01/12/2021
Last updated
04/06/2022
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