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Mrs. Knicole A Lee, FNP
Family Nurse Practitioner in Baxley, Georgia
NPI 1972791069

Knicole A Lee is a Family Nurse Practitioner based in Vidalia, GA and is specialized in Family. Knicole A Lee practices in Baxley, GA and has the professional credentials of FNP. The NPI Number for Knicole A Lee is 1972791069 and holds a License No. RN116307 (Georgia).

The current practice location address for Knicole A Lee is 388 S Main St, Baxley, GA and can be reached out via phone at 912-705-9110 and via fax at 912-705-9111.

Location: 388 S Main St, Baxley, GA, 30475-0407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972791069
Provider Name
Knicole A Lee
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
388 S Main St, Baxley, GA, 30475-0407
Phone Number
912-705-9110
Fax Number
912-705-9111
Provider Enumeration Date
10/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
332370125G 05 GA
institution
Provider Business Practice Location Address Details
Address
388 S Main St
City
Baxley
State
Georgia
Zip
31513-0104
Phone Number
912-705-9110
Fax Number
912-705-9111
person
Provider Business Mailing Address Details
Address
388 S Main St
City
Baxley
State
Georgia
Zip
31513-0104
Phone Number
912-705-9110
Fax Number
912-705-9111
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN116307 (Georgia)
Definition
Definition to come...
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