Provider Demographics
NPI:1689904229
Name:VANCE, KARI LW (NP)
Entity Type:Individual
Prefix:MISS
First Name:KARI
Middle Name:LW
Last Name:VANCE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:PO BOX 6687
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30315-0687
Mailing Address - Country:US
Mailing Address - Phone:404-688-1350
Mailing Address - Fax:404-688-2962
Practice Address - Street 1:5185 PEACHTREE PKWY STE 330
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-6541
Practice Address - Country:US
Practice Address - Phone:770-476-9885
Practice Address - Fax:770-476-8482
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2023-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN223468363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN223468OtherGA BOARD OF NURSING