Individual
MRS. NICOLE ANN WINSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1120 15TH STREET, AUGUSTA, GA 30912-0004
(706) 721-3791
(706) 660-2699
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2603
(706) 828-8402
(706) 660-2699
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN184306
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN184306
LICENSE
GA
Enumeration date
09/09/2009
Last updated
10/14/2011
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