NPI 1013061043

Jill M Antisell, CNM

Practitioner Midwife Atlanta, GA

Practice location

Address: 550 Peachtree St NE STE 1275, Atlanta, GA 30308-2240
Phone: (404) 872-3121
Fax: (404) 872-3119
Mailing address: 3495 Piedmont Road, NE Nine Piedmont Center, Atlanta, GA 30305

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence RN164801 (GA)

Other Midwife providers in Georgia →

Registry record

NPI: 1013061043
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2007
Record last updated: 20 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.