Individual
ELAINE NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
455 S MAIN ST STE 103, HINESVILLE, GA 31313-4354
(912) 876-6868
(912) 876-6566
Mailing address
455 S MAIN ST STE 103, HINESVILLE, GA 31313-4354
(912) 876-6868
(912) 876-6566
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
26NN06481700
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
RN222173
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124416A
—
GA
Enumeration date
02/09/2006
Last updated
03/05/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us