Individual
GASHEBAL NICOLE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
265 TURNER ST, EDISON, GA 39846-6039
(229) 835-2251
Mailing address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 758-4212
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN264533
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN264533
NURSE PRACTITIONER LICENSE
GA
Enumeration date
12/29/2022
Last updated
12/29/2022
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