Individual
MARCEY NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
105 S WOODBURN DR STE 2, DOTHAN, AL 36305-1109
(334) 649-3458
(949) 703-7298
Mailing address
105 S WOODBURN DR STE 2, DOTHAN, AL 36305-1109
(334) 649-3458
(949) 703-7298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-127093
AL
Other
Enumeration date
01/31/2023
Last updated
01/14/2025
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