Individual
STEPHANIE ANNE VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
960 JOHNSON FERRY RD, STE 500, ATLANTA, GA 30342-1631
(404) 257-0006
(404) 851-1316
Mailing address
960 JOHNSON FERRY RD, STE 500, ATLANTA, GA 30342-1631
(404) 257-0006
(404) 851-1316
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN216335
GA
Other
Enumeration date
11/14/2016
Last updated
10/16/2020
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