Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY TICKLE, PCNS-BC, PPCNP-BC
Active Sole ProprietorKELLY TICKLE, PCNS-BC, PPCNP-BC is a Pediatric Nurse Practitioner healthcare provider located in ATLANTA, Georgia. NPI 1417379538 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · ATLANTA, GA
Registration Details
- NPI Number
- 1417379538
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 8, 2014 (12.415893128399 yrs)
- Last Updated
- Oct 31, 2025
- Licenses
-
APRN-NP228738 (GA)RN228738 (GA)APRN-CNS228738 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5455 MERIDIAN MARKS RD STE 400ATLANTA, GA, 303424723Browse GA providers · Browse ZIP 30342
- Phone
- 4047853240
- Fax
- 4047853600
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Pediatric Clinical Nurse Specialist
Other Pediatric Nurse Practitioner Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. SANDRA MCCAULEY UKAH | NP | 1609871565 |
| MRS. JANNA BENSTON | CPNP-PC | 1003815838 |
| SHANA HORAN | CPNP | 1497754238 |
| MS. BARBARA JEAN CHANDLER | PNP | 1720087471 |
| MS. MIA COTRONEO | CPNP | 1518966266 |
| MRS. TARA CHOATE DAVIS | NP | 1962472613 |
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.