Individual
NICOLE WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2635
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-8402
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN134467
GA
Other
Enumeration date
10/29/2008
Last updated
10/09/2025
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