Individual
KELLY ROSE PERONTI
Active
Individual
KELLY ROSE PERONTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN199128
GA
390200000X
Student in an Organized Health Care Education/Training Program
RN199128
GA
Other
Enumeration date
12/27/2016
Last updated
10/09/2025
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