Individual
NICKOLAS JAMES LEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP-FNP-BC
Contact information
Practice address
325 GEORGIA AVE STE 100, NORTH AUGUSTA, SC 29841-3848
(803) 202-3351
(803) 819-8532
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 854-6008
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN253568
GA
Other
Enumeration date
08/03/2021
Last updated
11/23/2021
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