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

Marianne Pettis

Individual provider Family Nurse Practitioner · NPI 1366057366

Marianne Pettis is a Family Nurse Practitioner in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

2429 Mlk Jr Dr SW
Atlanta, GA 30311-1713
Phone: (706) 296-5739
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 218380 (GA)

Record details

NPI number1366057366
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2020
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020

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