IndividualActive
Betty Wickstrom, N.P.
NPI 1669405197 · Adult Health Nurse Practitioner · Atlanta, GA
Provider details
- NPI number
- 1669405197
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- RN045532 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
960 Johnson Ferry Rd Ne
Suite 336
Atlanta, GA 30342-1631
Phone: (404) 252-7400
Fax: (404) 252-1772
Approximate (ZIP-level) locationGet directions
Mailing address
960 Johnson Ferry Rd Ne
Atlanta, GA 30342-1631
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.