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

Mary Wesleigh Lourie, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1164191441

Mary Wesleigh Lourie, CPNP-PC is a Pediatric Nurse Practitioner in Stone Mountain, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

5405 Memorial Dr
Stone Mountain, GA 30083-3234
Phone: (404) 296-3800
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 290418 (GA)

Record details

NPI number1164191441
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorYes
NPI enumeratedSeptember 9, 2021
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022

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