Individual
MRS. NICOLE JANE CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
601 PROFESSIONAL DRIVE, LAWRENCEVILLE, GA 30046
(678) 393-6348
(678) 541-6763
Mailing address
601 PROFESSIONAL DRIVE, LAWRENCEVILLE, GA 30046
(678) 393-6348
(678) 541-6763
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN217901
GA
176B00000X
Midwife
RN217901
GA
363LF0000X
Family Nurse Practitioner
RN 217901
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 217901
NURSING LICENSE
GA
Enumeration date
01/28/2016
Last updated
09/30/2021
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