Individual
NISHABEN T. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3120 NORTH OAK STREET EXTENSION, SUITE B, VALDOSTA, GA 31602
(229) 671-6164
(229) 671-6761
Mailing address
3120 NORTH OAK STREET EXTENSION, SUITE C, VALDOSTA, GA 31602
(229) 671-6100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN243653
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN243653
GA
Other
Enumeration date
07/22/2019
Last updated
09/27/2021
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