Individual provider · Type 1 NPI

Mary Lee Nichols, APRN, BC

Adult Health Nurse Practitioner · Atlanta, GA

NPI number 1366645087 Active

Practice location

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Call (404) 712-7033 Map

Mailing address

146 Vidal Blvd
Decatur, GA 30030-2345

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XRN050631 NP (GA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1366645087

Mary Lee Nichols, APRN, BC's National Provider Identifier is 1366645087, issued on Jun 8, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.