Individual
MRS. KRISTINA GAIL NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3970 DEPUTY BILL CANTRELL MEMORIAL RD STE 100, CUMMING, GA 30040-8216
(678) 513-2273
Mailing address
3970 DEPUTY BILL CANTRELL MEMORIAL RD STE 100, CUMMING, GA 30040-8216
(678) 513-2273
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN156613
GA
363LF0000X
Family Nurse Practitioner
Primary
156613
GA
Other
Enumeration date
05/02/2012
Last updated
07/22/2016
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