IndividualActive
Mary Kletcke, RN
NPI 1487598470 · Neonatal Intensive Care Registered Nurse · Macon, GA
Provider details
- NPI number
- 1487598470
- Entity type
- Individual
- Primary specialty
- Neonatal Intensive Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN334254 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
888 Pine St
Macon, GA 31201-2109
Phone: (478) 633-8175
Approximate (ZIP-level) locationGet directions
Mailing address
888 Pine St
Macon, GA 31201-2109
Registry dates
- Enumerated
- 2026-04-18
- Last updated
- 2026-04-18
- Certified
- 2026-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.