Individual
MRS. NICOLE MARIE SORRELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6060 LAKE ACWORTH DR NW STE H, ACWORTH, GA 30101-7358
(561) 568-4556
Mailing address
6060 LAKE ACWORTH DR NW STE H, ACWORTH, GA 30101-7358
(561) 568-4556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9232361
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11014332
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
GAA-NP001721
GA
Other
Enumeration date
06/29/2021
Last updated
06/18/2025
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