Individual
TAMICA MICHELLE WHITEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, FNP-BC
Contact information
Practice address
531 GOLDFINCH WAY, STOCKBRIDGE, GA 30281-9028
(678) 230-5436
Mailing address
531 GOLDFINCH WAY, STOCKBRIDGE, GA 30281-9028
(678) 230-5436
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN150889
GA
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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