Individual provider · Type 1 NPI

Angela Evette Nicholas

Private Vehicle · Jonesboro, GA

NPI number 1124987664 Active

Practice location

1909 Summercourt Dr Bldg 19
Jonesboro, GA 30236-1525

Call (404) 820-8100 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000X055633269 (GA)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

About NPI 1124987664

Angela Evette Nicholas's National Provider Identifier is 1124987664, issued on Jan 20, 2026. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Jonesboro, GA. The record was last updated on Jan 20, 2026.