Individual
NASHIEKA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046
(678) 209-2394
Mailing address
206 UNION AVE, MOUNT VERNON, NY 10550-3605
(914) 602-7983
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN282501
GA
Other
Enumeration date
08/27/2014
Last updated
03/29/2019
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