Individual
EBONY NICHOLE STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, APRN
Contact information
Practice address
632 GARLAND TRL, HARLEM, GA 30814-5152
(706) 699-7139
Mailing address
632 GARLAND TRL, HARLEM, GA 30814-5152
(706) 699-7138
(706) 948-8780
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN233862
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP233862
GA
Other
Enumeration date
04/09/2025
Last updated
01/29/2026
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