Individual
MRS. ANGELICA LAUREN TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1856 THOMPSON BRIDGE RD STE 14, GAINESVILLE, GA 30501-1620
(770) 219-9460
(770) 219-9461
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(772) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22593
SC
363LF0000X
Family Nurse Practitioner
Primary
RN215693
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003169456C
—
GA
05
—
003169456D
—
GA
01
—
04721916
AMERIGROUP
GA
Enumeration date
08/04/2015
Last updated
08/10/2023
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