Individual
NAKITA DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD STE 1100, ATLANTA, GA 30342-4795
(404) 851-2300
Mailing address
1100 JOHNSON FERRY RD STE 510, SANDY SPRINGS, GA 30342-1743
(404) 419-1165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP00526
GA
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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