Individual
NICHOLE PAULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, WHNP-BC
Contact information
Practice address
3060 MOBILE HWY, MONTGOMERY, AL 36108-4027
(334) 555-2422
Mailing address
1016 RUSSBOROUGH CT, MONTGOMERY, AL 36117-1313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-156362
AL
363LW0102X
Women's Health Nurse Practitioner
Primary
1-156362
AL
Other
Enumeration date
04/15/2019
Last updated
10/02/2021
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