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Individual
NICKETA BERNARD
Active
Individual
NICKETA BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN319192
GA
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN319192
GA
363L00000X
Nurse Practitioner
Primary
APRN-NP319192
GA
363LA2100X
Acute Care Nurse Practitioner
$$$$$$$$$
GA
363LA2100X
Acute Care Nurse Practitioner
APRN-NP319192
GA
Other
Enumeration date
07/15/2024
Last updated
08/26/2026
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