Individual
COURTNEY NICOLE BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 PEACHTREE ST NW, ATLANTA, GA 30309-2519
(404) 594-8974
Mailing address
1800 PEACHTREE ST NW, ATLANTA, GA 30309-2519
(404) 594-8974
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN284859
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN284859
—
GA
Enumeration date
02/26/2021
Last updated
03/03/2023
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