Individual
NICOLE LEANN MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-3180
Mailing address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-3180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-153599
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-153599
AL
Other
Enumeration date
03/29/2019
Last updated
09/27/2021
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