Active NPIIndividual providerSole proprietor

Ms. Mary V Acklin, CPNP

Nurse Practitioner, Pediatrics in Atlanta, Georgia

NPI Number1629082524
Practice location
30 Warren St SE, Dekalb Grady Clinic, Atlanta, GA 30317-2267
Fax
404-377-9324
Last updated
July 8, 2007

Ms. Mary V Acklin, CPNP is a Nurse Practitioner, Pediatrics based in Atlanta, GA. Ms. Mary V Acklin, CPNP holds the professional credentials of CPNP. The NPI number for Ms. Mary V Acklin, CPNP is 1629082524 and holds license No. RN034948 (GA). The current practice location address is 30 Warren St SE, Dekalb Grady Clinic, Atlanta, GA 30317-2267 and the office can be reached by phone at 404-616-9304 and by fax at 404-377-9324. The NPI was assigned on July 28, 2006 and the record was last updated in NPPES on July 8, 2007.

●Provider Profile Details

NPI Number
1629082524
Provider Name
Mary Virginia Acklin
Credential
CPNP
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
Yes
Enumeration Date
July 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

◉Business Practice Location Address

Address
30 Warren St SE
Dekalb Grady Clinic
Atlanta, GA 30317-2267
State
Georgia
ZIP
30317-2267
Country
US
Phone Number
404-616-9304
Fax Number
404-377-9324

Get directions →

✉Business Mailing Address

Address
30 Warren St SE
Dekalb Grady Clinic
Atlanta, GA 30317-2267
City
Atlanta
State
GA
ZIP
30317-2267
Phone Number
404-616-9304
Fax Number
404-377-9324

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Pediatrics363LP0200XYesRN034948GA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Ms. Mary V Acklin, CPNP?

The NPI number of Ms. Mary V Acklin, CPNP is 1629082524. It was assigned on July 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Mary V Acklin, CPNP?

Ms. Mary V Acklin, CPNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X) and holds license No. RN034948 (GA).

Where does Ms. Mary V Acklin, CPNP practice?

The practice location is 30 Warren St SE, Dekalb Grady Clinic, Atlanta, GA 30317-2267. The office can be reached at 404-616-9304 (phone) or 404-377-9324 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629082524 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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