MRS. NICOLE CAMP (NPI# 1477910941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477910941 |
Entity Type | Individual |
Full Name | MRS. NICOLE CAMP |
Other Name | NICOLE HICKS |
Credential | FNP-YCNM |
Practice Address |
2725 Mall of Georgia Blvd Buford GA 30519 |
Practice Telephone | 6785410339 |
Practice Fax Number | 6785416763 |
Mailing Telephone | 6785410339 |
Mailing Fax Number | 6785416763 |
Enumeration Date | 2016-01-28 |
Last Update Date | 2020-09-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN 217901 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | NURSING LICENSE | RN 217901 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972724797 | Nicole Halpenny Camp | Psychologist | 2 Courthouse Lane #3, Chelmsford, MA 01824 | 2007-05-01 |
1497264071 | Nicole Camp | Physician Assistant | 300 Twining St # 760, Maxwell Afb, AL 36112-6027 | 2017-09-26 |
1851847354 | Nicole Camp | Pharmacist | 1650 Dunlawton Ave, Port Orange, FL 32127-4754 | 2016-08-25 |
1720373368 | Nicole Ann Camp | Pharmacist | 16959 Evans Plz, T2326, Omaha, NE 68116-2388 | 2011-06-11 |
Street Address |
2725 MALL OF GEORGIA BLVD |
City | BUFORD |
State | GA |
Zip Code | 30519 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154880763 | Walter Kalenik | Physical Therapist | 3694 Lake Rabun Ct, Buford, GA 30519 | 2019-03-14 |
1083127500 | Bunmi Yemisi Folarinde | Nurse Practitioner | 3616 S Bogan Rd Ste 202, Buford, GA 30519 | 2017-11-06 |
1124546817 | Jenny Chang | Pharmacist | 2635 General Lee Way, Buford, GA 30519 | 2017-09-02 |
1588181853 | Vincent Spencer | Nurse Practitioner | 2128 Mill Garden Run, Buford, GA 30519 | 2017-08-27 |
1225567597 | Vincentia Paul-constantin | Clinic/Center | 2867 Country House Lane, Buford, GA 30519 | 2017-06-08 |
1043668361 | Jacob Matthew Minor | Chiropractor | 2725 Hamilton Rd, Ste 500, Buford, GA 30519 | 2016-05-26 |
1235519240 | Moyra Renee Betuzzi-teas | Obstetrics & Gynecology | 2527 Mall of Georgia Blvd, Buford, GA 30519 | 2015-06-04 |
1104250950 | Coyette Annisee Telemaque | Nurse Practitioner | 3331 Hamilton Mill Rd Ste 1102, Buford, GA 30519 | 2013-08-29 |
1649552134 | Indira Ashok Patel | Physical Medicine & Rehabilitation | 2839 Hidden Falls Drive, Buford, GA 30519 | 2011-09-12 |
1699923516 | Justin Daniel Needham | Ophthalmology | 1995 Mall of Georgia Blvd Ste A, Buford, GA 30519 | 2008-09-04 |
Find all providers in zip 30519 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366056764 | Lucy Greer Sorto | Nurse Practitioner | 3437 Big Leaf Ct, Buford, GA 30519-4633 | 2020-09-02 |
1427678259 | Cathy D Giomblanco | Nurse Practitioner | 3703 Southland Dr, Buford, GA 30519-7096 | 2020-04-22 |
1912538901 | Chinenye Nwokocha | Nurse Practitioner | 2000 Beyers Landing Dr, Buford, GA 30519-7180 | 2020-01-29 |
1538799762 | Erin Raeford | Nurse Practitioner | 2978 Hidden Falls Dr, Buford, GA 30519-4551 | 2020-01-15 |
1477107019 | Tikesha Perryman | Nurse Practitioner | 1421 Woodward Down Ct, Buford, GA 30519-5075 | 2019-07-31 |
1447754999 | Alexandra Bogle Roberts | Nurse Practitioner | 3200 Woodward Crossing Blvd Ste B108, Buford, GA 30519-5707 | 2018-03-20 |
1083127500 | Bunmi Yemisi Folarinde | Nurse Practitioner | 3616 S Bogan Rd Ste 202, Buford, GA 30519 | 2017-11-06 |
1588181853 | Vincent Spencer | Nurse Practitioner | 2128 Mill Garden Run, Buford, GA 30519 | 2017-08-27 |
1720509870 | Chidinma Nwadike | Nurse Practitioner | 3832 Mabry Ridge Dr, Buford, GA 30518-1683 | 2017-06-29 |
1437503679 | Margaret Naa Adjeley Odua Doku | Nurse Practitioner | 4445 S Lee St Ste 100, Buford, GA 30518-8806 | 2016-04-13 |
Find all providers in BUFORD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.