Search › Georgia › 363LP0200X
Kelly Tickle, PCNS-BC, PPCNP-BC
NPI 1417379538 · on the registry since 2014 · sole proprietor
Practice
- Address
- 5455 Meridian Marks Rd Ste 400
Atlanta, GA 30342 - Phone
- (404) 785-3240
- Fax
- (404) 785-3600
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Also registered as
- 163W00000X
364SP0200X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia