1. Home
  2. Directory
  3. Georgia
  4. Marietta
  5. Nurse Practitioner
  6. NPI Profile

BEVERLY WYNNE APRN
NPI 1083012561
Nurse Practitioner - Neonatal, Critical Care in Marietta, GA

Active since December 15, 2014
677 CHURCH ST NE, MARIETTA, GA 30060(770) 792-9808 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beverly Wynne Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY WYNNE APRN (NPI 1083012561) is an individual neonatal, critical care provider in Marietta, Georgia, licensed in Georgia (RN079004) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1083012561
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameBEVERLY WYNNECredential: APRN
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address4120 Brigade Trl NwKennesaw, GA 30152-7722 · (770) 424-6172
Phone(770) 792-9808
Sole ProprietorNo
Enumeration DateDecember 15, 2014
✔ NPI 1083012561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in GA · RN079004
677 CHURCH ST NE, Marietta, GA 30060
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN MARIE BLALOCK DO
Emergency Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
JAMIN GRAHAM MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
SAUMYA GURBANI MD, PHD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060
Cobb County (770) 793-7742
DR. HALEY PUCKETT LAWHORN MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
MRS. RHONDA KIM LEE NP-C
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-7173
DEVIN HORTON CRNA
Nurse Anesthetist, Certified Registered
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 794-0477
BRITNEY ELIZABETH BECKETT
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
MS. EVELYN KAY HALE RN
Registered Nurse
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-9560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Wynne's NPI number?

The NPI number for Beverly Wynne is 1083012561. It was assigned to this individual provider in the NPPES registry on December 15, 2014.

Where is Beverly Wynne located?

Beverly Wynne practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 792-9808.

What is Beverly Wynne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

When was this NPI record last updated?

The NPPES record for Beverly Wynne was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.