Individual
NICOLE HAYNES PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN122509
GA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
RN122509
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000881449F
—
GA
05
—
000881449G
—
GA
Enumeration date
12/27/2006
Last updated
04/14/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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