Individual
MRS. LISA MICHELLE MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2174 N DRUID HILLS RD NE, ATLANTA, GA 30329-3102
(404) 785-9344
(404) 785-3489
Mailing address
2174 N DRUID HILLS RD NE, BROOKHAVEN, GA 30329-3102
(404) 784-0242
(404) 785-3489
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
RN223686
GA
363L00000X
Nurse Practitioner
Primary
1497213045
GA
Other
Enumeration date
03/02/2019
Last updated
11/04/2025
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