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

Mary Axente

Individual provider Pediatric Nurse Practitioner · NPI 1104229822

Mary Axente is a Pediatric Nurse Practitioner in Atlanta, Georgia. Licensed in Georgia and Tennessee. Registered with an NPI since 2014.

Licensed in
GA, TN
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1405 Clifton Rd NE
Atlanta, GA 30322-1060
Phone: (404) 785-6670
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence RN293203 (GA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 18764 (TN)

Record details

NPI number1104229822
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2014
Last updated in NPPESOctober 14, 2021
Certification dateOctober 14, 2021
Mailing address1405 Clifton Rd Ne, Atlanta, GA 30322-1060

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