Individual
NICOLLE MARIA DIGEROLAMO-THALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1497 FAIR RD STE 102, STATESBORO, GA 30458-0823
(912) 764-9001
(912) 764-3166
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7211
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN149962
GA
363LF0000X
Family Nurse Practitioner
RN149962
GA
Other
Enumeration date
10/24/2007
Last updated
02/09/2026
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