Individual
KIMJUANA IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1520 CLIFTON RD NE, ATLANTA, GA 30322-4201
(229) 507-1716
Mailing address
1520 CLIFTON RD NE, ATLANTA, GA 30322-4201
(229) 507-1716
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN302663
GA
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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