Individual
NICOLE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
Mailing address
1557 JANMAR RD, SNELLVILLE, GA 30078-5686
(678) 344-8900
(678) 666-5201
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN204290
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN204290
GEORGIA BOARD OF NURSING
GA
Enumeration date
12/15/2014
Last updated
06/11/2021
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