Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Haika Gloria Kisamo

Individual provider Primary Care Nurse Practitioner · NPI 1528741436

Haika Gloria Kisamo is a Primary Care Nurse Practitioner in Marietta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023

Practice location Address checks out

811 Kennesaw Ave NW
Marietta, GA 30060-1002
Phone: (770) 422-2451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence RN270976 (GA)

Record details

NPI number1528741436
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 8, 2023
Last updated in NPPESAugust 8, 2023
Certification dateMay 30, 2023

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