Leonard, Nina Coleman

Leonard, Nina Coleman is an sole proprietor health care provider with primary practice located at 102 Lakeshore Dr Ste B , Saint Marys GA 31558-3875. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Leonard, Nina Coleman can be contacted via phone (912) 882-3800.

Contact Information

Primary practice address
102 Lakeshore Dr Ste B Saint Marys GA 31558-3875
Phone: (912) 882-3800
Fax: (912) 882-3303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN044413 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN044413 Georgia

Profile Details

NPI number 1679877526
LBN Legal business name Leonard, Nina Coleman
Credentials CPNP-PC, PMHCNS-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2011
Last updated Dec 2nd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679877526 NPPES
Georgia MEDICAID 003133857B
Georgia MEDICAID 003133857A

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