Douglass, Nichole
Douglass, Nichole is an sole proprietor health care provider with primary practice located at 1955 Lake Park Dr Se Ste 300 , Smyrna GA 30080-8855. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Douglass, Nichole can be contacted via phone (770) 319-4705.Contact Information
Primary practice address
1955 Lake Park Dr Se Ste 300
Smyrna GA 30080-8855
Phone: (770) 319-4705
Fax: (770) 514-2803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | RN205945 | Georgia |
Profile Details
| NPI number | 1336407212 |
|---|---|
| LBN Legal business name | Douglass, Nichole |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2012 |
| Last updated | Apr 27th, 2012 - about 12 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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