Individual
MS. KARLYSTRA NICOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1800 HOWELL MILL RD NW, STE 450, ATLANTA, GA 30318-2508
(404) 788-5237
(770) 258-5103
Mailing address
1800 HOWELL MILL RD NW, STE 450, ATLANTA, GA 30318-2508
(917) 951-7589
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN211278
GA
Other
Enumeration date
08/10/2016
Last updated
04/19/2017
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