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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LADEIDRA NICOLE WOOTEN, RN

Active

LADEIDRA NICOLE WOOTEN, RN is a Case Management Nurse healthcare provider located in SNELLVILLE, Georgia. NPI 1912770249 is currently active in the NPPES registry. Verify at CMS.

Case Management Nurse · SNELLVILLE, GA

Registration Details

NPI Number
1912770249
Provider Type
Individual
Gender
Female
NPI Issued
Oct 30, 2023 (2.7741926413086 yrs)
Last Updated
Mar 31, 2025
Licenses
RN243005 (GA)
RN243005 (GA)
MT013436 (GA)
RN243005 (GA)
RN243005 (GA)

Practice Information

Address
4250 ANTELOPE LN
SNELLVILLE, GA, 300395694
Browse GA providers · Browse ZIP 30039
Phone
7707781702
Primary Specialty
Case Management Nurse
163WC0400X
Additional Specialty
Pastoral Counselor
Additional Specialty
163WM1400X
Additional Specialty
Health & Wellness Coach
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.