Individual
NICOLE DELAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2053 JAMESON CIR, LAWRENCEVILLE, GA 30043-8201
(678) 376-8486
Mailing address
2053 JAMESON CIR, LAWRENCEVILLE, GA 30043-8201
(678) 376-8486
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN263124
GA
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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