Individual
MRS. STEPHANIE YVETTE NOLAN-SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
201 TYLER TRCE, GRIFFIN, GA 30223-8786
(678) 608-7369
Mailing address
201 TYLER TRCE, GRIFFIN, GA 30223-8786
(678) 608-7369
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN080500
GA
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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