person
Mrs. Temica Bohannon Niblack
Gerontology Nurse Practitioner in Fayetteville, Georgia
NPI 1598126179

Temica Bohannon Niblack is a Gerontology Nurse Practitioner based in Fayetteville, GA and is specialized in Gerontology. Temica Bohannon Niblack practices in Fayetteville, GA. The NPI Number for Temica Bohannon Niblack is 1598126179 and holds a License No. RN157878 (Georgia).

The current practice location address for Temica Bohannon Niblack is 100 Halcyon Ct, Fayetteville, GA and can be reached out via phone at 770-241-6044.

Location: 100 Halcyon Ct, Fayetteville, GA, 30214-5375
person
Provider Profile Details
NPI Number
1598126179
Provider Name
Temica Bohannon Niblack
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Halcyon Ct, Fayetteville, GA, 30214-5375
Phone Number
770-241-6044
Fax Number
Provider Enumeration Date
03/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Halcyon Ct
City
State
Zip
30214-5375
Phone Number
770-241-6044
Fax Number
person
Provider Business Mailing Address Details
Address
100 Halcyon Ct
City
State
Zip
30214-5375
Phone Number
770-241-6044
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
RN157878 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
RN157878 (Georgia)
Definition
Definition to come...
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