Cousin, Carisalyn Nicole

Cousin, Carisalyn Nicole is an individual health care provider with primary practice located at 12 Medical Dr Ne , Cartersville GA 30121-8002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cousin, Carisalyn Nicole can be contacted via phone (770) 386-1000.

Contact Information

Primary practice address
12 Medical Dr Ne Cartersville GA 30121-8002
Fax: (770) 386-9165
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN271422 Georgia

Profile Details

NPI number 1124085972
LBN Legal business name Cousin, Carisalyn Nicole
Credentials APRN BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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