Individual
TACARA NICHOLE HEMINGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1605 VERNON RD STE 1500, LAGRANGE, GA 30240-4166
(706) 884-1712
(706) 223-1934
Mailing address
1605 VERNON RD STE 1500, LAGRANGE, GA 30240-4166
(706) 884-1712
(706) 223-1934
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN221486
GA
Other
Enumeration date
06/24/2019
Last updated
08/30/2022
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