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Jack Anthony Miceli, NP-C
Nurse Practitioner in Rome, Georgia
NPI 1821623232

Jack Anthony Miceli is a Nurse Practitioner based in Rome, GA. Jack Anthony Miceli practices in Rome, GA and has the professional credentials of NP-C. The NPI Number for Jack Anthony Miceli is 1821623232 and holds a License No. RN242971 (Georgia).

The current practice location address for Jack Anthony Miceli is 1825 Martha Berry Blvd Nw, Rome, GA and can be reached out via phone at 762-235-1470 and via fax at 706-238-8081.

Location: 1825 Martha Berry Blvd Nw, Rome, GA, 30165-1369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821623232
Provider Name
Jack Anthony Miceli
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
1825 Martha Berry Blvd Nw, Rome, GA, 30165-1369
Phone Number
762-235-1470
Fax Number
706-238-8081
Provider Enumeration Date
03/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1825 Martha Berry Blvd Nw
City
Rome
State
Georgia
Zip
30165-1625
Phone Number
762-235-1470
Fax Number
706-238-8081
person
Provider Business Mailing Address Details
Address
1825 Martha Berry Blvd Nw
City
Rome
State
Georgia
Zip
30165-1625
Phone Number
762-235-1470
Fax Number
706-238-8081
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN242971 (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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