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Mr. Kennon Howard Mccollum, MSN
Nurse Practitioner in Stockbridge, Georgia
NPI 1427036409

Kennon Howard Mccollum is a Nurse Practitioner based in Atlanta, GA. Kennon Howard Mccollum practices in Stockbridge, GA and has the professional credentials of MSN. The NPI Number for Kennon Howard Mccollum is 1427036409 and holds a License No. RN102128 (Georgia).

The current practice location address for Kennon Howard Mccollum is 1045 Southcrest Dr, Stockbridge, GA and can be reached out via phone at 678-289-0549 and via fax at 678-289-8756. You can also correspond with Kennon Howard Mccollum through the mailing address at 1835 SAVOY DR, ATLANTA, GA - 30341-1072 (mailing address contact number: 678-289-0549).

Location: 1045 Southcrest Dr, Stockbridge, GA, 30341-1072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427036409
Provider Name
Kennon Howard Mccollum
Credential
MSN
Provider Entity Type
Individual
Gender
Male
Address
1045 Southcrest Dr, Stockbridge, GA, 30341-1072
Phone Number
678-289-0549
Fax Number
678-289-8756
Provider Enumeration Date
01/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000968745J 05 GA
000968745K 05 GA
000968745H 05 GA
institution
Provider Business Practice Location Address Details
Address
1045 Southcrest Dr
City
Stockbridge
State
Georgia
Zip
30281-6113
Phone Number
678-289-0549
Fax Number
678-289-8756
person
Provider Business Mailing Address Details
Address
1045 Southcrest Dr
City
Stockbridge
State
Georgia
Zip
30281-6113
Phone Number
678-289-0549
Fax Number
678-289-8756
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN102128 (Georgia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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