# MICHELLE LOURDES QUEEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861656365
- **Gender:** F
- **Credential:** FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN159750 | GA | — |
| 363L00000X | Nurse Practitioner | RN159750 | GA | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | RN159750 | GA | — |

## Other

- **Enumeration date:** 07/14/2008
- **Last updated:** 09/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | F0508073 | AMERICAN ACADEMY OF NURSE PRACTITIONERS CERT PROGRAM | GA |
| 01 | — | RN159750 | STATE OF GEORGIA BOARD OF NURSING | GA |