Provider Demographics
NPI:1891294633
Name:MCNEILL, CYNTHIA BARBARA (PHD, APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:BARBARA
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:PHD, APRN, FNP-C
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:BARBARA
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:400 GALLERIA PKWY SE STE 1500
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-5953
Mailing Address - Country:US
Mailing Address - Phone:888-692-5546
Mailing Address - Fax:
Practice Address - Street 1:400 GALLERIA PKWY SE STE 1500
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-5953
Practice Address - Country:US
Practice Address - Phone:888-692-5546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-07
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN233487363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health