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Mr. Justin Doyle Nicholson, NP-C
Nurse Practitioner in Blue Ridge, Georgia
NPI 1457806184

Justin Doyle Nicholson is a Nurse Practitioner based in Atlanta, GA. Justin Doyle Nicholson practices in Blue Ridge, GA and has the professional credentials of NP-C. The NPI Number for Justin Doyle Nicholson is 1457806184 and holds a License No. RN209728 (Georgia).

The current practice location address for Justin Doyle Nicholson is 101 Riverstone Vis Ste 102, Blue Ridge, GA and can be reached out via phone at 706-258-4140 and via fax at 706-258-4141. You can also correspond with Justin Doyle Nicholson through the mailing address at 1835 SAVOY DR STE 300, ATLANTA, GA - 30341-1071 (mailing address contact number: 706-258-4140).

Location: 101 Riverstone Vis Ste 102, Blue Ridge, GA, 30341-1071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457806184
Provider Name
Justin Doyle Nicholson
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
101 Riverstone Vis Ste 102, Blue Ridge, GA, 30341-1071
Phone Number
706-258-4140
Fax Number
706-258-4141
Provider Enumeration Date
08/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G00351A 01 GA MEDICARE PTAN
003202905B 05 GA
003202905A 05 GA
institution
Provider Business Practice Location Address Details
Address
101 Riverstone Vis Ste 102
City
Blue Ridge
State
Georgia
Zip
30513-6630
Phone Number
706-258-4140
Fax Number
706-258-4141
person
Provider Business Mailing Address Details
Address
101 Riverstone Vis Ste 102
City
Blue Ridge
State
Georgia
Zip
30513-6630
Phone Number
706-258-4140
Fax Number
706-258-4141
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN209728 (Georgia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN209728 (Georgia)
Definition
Definition to come...
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