Individual provider · Type 1 NPI

Tiffany Renee Nicholson

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1114745049 Active

Practice location

2751 Buford Hwy NE Ste 700
Atlanta, GA 30324-5510

Call (404) 948-6975 Map

Mailing address

2119 Garrison Way NW
Atlanta, GA 30318-1068

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114745049

Tiffany Renee Nicholson's National Provider Identifier is 1114745049, issued on Sep 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Sep 30, 2024.