Individual provider · Type 1 NPI

Nichole Douglass, RN

Case Management Registered Nurse · Smyrna, GA

NPI number 1336407212 Active

Practice location

1955 Lake Park Dr SE Ste 300
Smyrna, GA 30080-8855

Fax (770) 514-2803

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400XRN205945 (GA)

Case Management Registered Nurse: Definition to come...

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About NPI 1336407212

Nichole Douglass, RN's National Provider Identifier is 1336407212, issued on Apr 27, 2012. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Smyrna, GA. The record was last updated on Apr 27, 2012.