Individual
LING QIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(678) 207-4373
(770) 533-4727
Mailing address
2042 WINDERMERE XING, CUMMING, GA 30041-6101
(678) 794-3001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN143497
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN143497
GA
363LA2200X
Adult Health Nurse Practitioner
RN143497
GA
364SA2100X
Acute Care Clinical Nurse Specialist
RN143497
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10075392
AMERIGROUP
GA
01
—
381898
WELLCARE
GA
05
—
395864656A
—
GA
05
—
395864656B
—
GA
05
—
395864656C
—
GA
05
—
395864656D
—
GA
05
—
395864656E
—
GA
05
—
395864656I
—
GA
05
—
395864656K
—
GA
01
—
P00447454
MEDICARE RAILROAD
GA
Enumeration date
11/20/2006
Last updated
04/08/2025
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