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Individual
NICOLE DENISE KNIGHT
Active
Individual
NICOLE DENISE KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN197895
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F02170297
NATIONAL BOARD CERTIFICATION FOR FAMILY NURSE PRACTITIONER
—
01
—
RN197895
GEORGIA BOARD FAMILY NURSE PRACTITIONER
GA
Enumeration date
05/26/2017
Last updated
05/26/2017
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