Individual
NIKI NIGHTINGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7539 WATSON BAY CT, STONE MOUNTAIN, GA 30087-6150
(678) 925-1311
Mailing address
7539 WATSON BAY CT, STONE MOUNTAIN, GA 30087-6150
(678) 925-1311
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1.025
ZZ
Other
Enumeration date
04/22/2017
Last updated
04/22/2017
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