Provider Demographics
NPI:1386643138
Name:PRIESTER, KAREN (NNP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:PRIESTER
Suffix:
Gender:F
Credentials:NNP
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Mailing Address - Street 1:5901 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:SUITE B 420
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5382
Mailing Address - Country:US
Mailing Address - Phone:404-252-9751
Mailing Address - Fax:678-990-5763
Practice Address - Street 1:5901 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:SUITE B 420
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5382
Practice Address - Country:US
Practice Address - Phone:404-252-9751
Practice Address - Fax:678-990-5763
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2011-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN077983363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00934876DMedicaid
GA00934876BMedicaid
GA00934876CMedicaid