Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYLENE LILIAN GONZALES
Active Sole ProprietorMYLENE LILIAN GONZALES is a Gerontological Nurse Practitioner healthcare provider located in JOHNS CREEK, Georgia. NPI 1396345948 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · JOHNS CREEK, GA
Registration Details
- NPI Number
- 1396345948
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2020 (5.7951750357742 yrs)
- Last Updated
- Dec 24, 2025
- Licenses
-
RN249672 (GA)RN249672 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4700 OGEECHEE DRJOHNS CREEK, GA, 300221095Browse GA providers · Browse ZIP 30022
- Phone
- 7704032186
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Acute Care Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.