Individual provider · Type 1 NPI
Tina Thibault Vincent, N.P.
Family Nurse Practitioner · Marietta, GA
NPI number
1508090903
Active
Practice location
4757 Netherstone Ct NE
Marietta, GA 30066-6908
Fax (678) 264-2236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN163999 NP (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508090903
Tina Thibault Vincent, N.P.'s National Provider Identifier is 1508090903, issued on May 13, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Marietta, GA. The record was last updated on May 13, 2009.