Individual
NICOLE PAIGE WOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
60 PROVIDENCE ST, SPARTA, GA 31087-1601
(706) 444-5153
Mailing address
60 PROVIDENCE ST, SPARTA, GA 31087-1601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
215987
GA
363LF0000X
Family Nurse Practitioner
RN215987
GA
Other
Enumeration date
10/23/2020
Last updated
07/17/2026
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