Individual
NICOLE K NOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
358 HOMESTEAD DR, DALLAS, GA 30157-4629
(678) 363-8338
Mailing address
358 HOMESTEAD DR, DALLAS, GA 30157-4629
(678) 363-8338
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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