Individual
NICOLE STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7444 HANNOVER PKWY S STE 210, STOCKBRIDGE, GA 30281-7847
(770) 741-1750
(770) 741-1755
Mailing address
901 MCCLINTOCK DR STE 202, BURR RIDGE, IL 60527-0872
(630) 655-6748
(630) 734-4715
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN145754
GA
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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