Individual
MS. JADELLA AMANDA MICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
275 COLLIER RD NW STE 300, ATLANTA, GA 30309-1740
(404) 350-0009
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5353
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024192859
VA
363L00000X
Nurse Practitioner
Primary
APRN-NP222049
GA
363LA2100X
Acute Care Nurse Practitioner
1172742
AL
363LA2100X
Acute Care Nurse Practitioner
RN222049
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
1172742
AL
363LC0200X
Critical Care Medicine Nurse Practitioner
RN222049
GA
Other
Enumeration date
11/30/2018
Last updated
07/28/2026
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