Individual
NICOLE HAYNES PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
980 JOHNSON FERRY RD NE, SUITE 660, ATLANTA, GA 30342-1626
(404) 847-1592
(404) 303-2015
Mailing address
980 JOHNSON FERRY RD NE, SUITE 660, ATLANTA, GA 30342-1626
(404) 847-1592
(404) 303-2015
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
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