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Individual

DESTINY DANIELLE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
345 HUNTINGTON PLACE CT, MCDONOUGH, GA 30253-8651
(678) 782-6920
Mailing address
675 LAFAYETTE AVE APT 5112, FAYETTEVILLE, GA 30214-8811
(337) 335-7487

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APRN-NP712281
GA
207Q00000X
Family Medicine Physician
Primary
F01260527
GA

Other

Enumeration date
01/21/2026
Last updated
03/02/2026
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