Individual
AUDREY BEMIS NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3320 OLD JEFFERSON RD BLDG 800, ATHENS, GA 30607-1400
(706) 353-2990
(706) 353-2992
Mailing address
3320 OLD JEFFERSON RD BLDG 700, ATHENS, GA 30607-1465
(706) 353-2990
(706) 353-2992
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN-NP281383
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-NP281383
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003263351A
—
GA
Enumeration date
09/19/2018
Last updated
10/29/2025
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