Individual
ELIZABETH BERNICE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 287-3815
(770) 287-9689
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN-NP17064
GA
367A00000X
Advanced Practice Midwife
Primary
APRN-CNM176064
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135123A
—
GA
05
—
003135123B
—
GA
05
—
003135123C
—
GA
05
—
003135123D
—
GA
05
—
003135123H
—
GA
05
—
003135123I
—
GA
05
—
003135123J
—
GA
05
—
003135123K
—
GA
05
—
003135123L
—
GA
05
—
003135123M
—
GA
01
—
01879953
AMERIGROUP
GA
01
—
202I428873
MEDICARE
GA
01
—
904860
WELLCARE
GA
Enumeration date
06/20/2013
Last updated
10/30/2025
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