Individual
COURTNEY NUCKOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-6172
(706) 721-1794
Mailing address
186 RED GLOBE ST, NORTH AUGUSTA, SC 29860-7694
(704) 996-6776
(706) 721-1794
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN207937
GA
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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