Individual
DR. NICOLE TYLER LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, NP
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(404) 616-1000
Mailing address
5785 KEYSTONE GRV, LITHONIA, GA 30058-5692
(678) 719-5024
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
279147
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
279147
GA
Other
Enumeration date
06/23/2023
Last updated
04/29/2024
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