Individual
MS. NICKY S TOMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1315 JESSE JEWELL PKWY NE STE 200, GAINESVILLE, GA 30501-3822
(770) 219-9443
Mailing address
1315 JESSE JEWELL PKWY NE STE 200, GAINESVILLE, GA 30501-3822
(770) 219-9443
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
95003494
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NMW235760
CA
Other
Enumeration date
12/22/2015
Last updated
05/08/2020
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