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MRS. VIKKI ALISHA NUNNERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-2273
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041354744
IL
171000000X
Military Health Care Provider
209016318
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209016318
IL
390200000X
Student in an Organized Health Care Education/Training Program
041354744
IL

Other

Enumeration date
09/24/2014
Last updated
08/11/2024
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