Individual
ANTENET NICHELLE SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
127 MANOUS DR, HOLLY SPRINGS, GA 30115-8713
(904) 735-4083
(678) 880-9460
Mailing address
127 MANOUS DR, HOLLY SPRINGS, GA 30115-8713
(904) 735-4083
(678) 880-9460
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0028908067
GA
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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