Johnson, Nicole Tamara

Johnson, Nicole Tamara is an individual health care provider with primary practice located at 3580 Cameron Pkwy , Stockbridge GA 30281-7816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Johnson, Nicole Tamara can be contacted via phone (770) 996-6446.

Contact Information

Primary practice address
3580 Cameron Pkwy Stockbridge GA 30281-7816
Phone: (770) 996-6446
Fax: (770) 996-6279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN179949 Georgia

Profile Details

NPI number 1710116769
LBN Legal business name Johnson, Nicole Tamara
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2009
Last updated Jul 13th, 2009 - about 15 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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