Individual
NAKIBA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4905 PROMENADE DR SW, ATLANTA, GA 30331-8718
(781) 913-1630
Mailing address
4905 PROMENADE DR SW, ATLANTA, GA 30331-8718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2306380
MA
163W00000X
Registered Nurse
RN236380
MA
163WC0400X
Case Management Registered Nurse
Primary
RN308861
GA
Other
Enumeration date
02/20/2018
Last updated
02/20/2026
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