Individual
BECCA CHURCHWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4351 OLDE PERIMETER WAY, #200 STE 110, ATLANTA, GA 30346
(334) 590-1100
Mailing address
8060 RIVER CIR, ATLANTA, GA 30350-4727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN269847
GA
363LF0000X
Family Nurse Practitioner
RN269847
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN269847
STATE LICENSE
—
Enumeration date
07/18/2017
Last updated
12/19/2025
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