Individual provider · Type 1 NPI
Nicole Dubois Witt, AGACNP-BC
Gerontology Nurse Practitioner · Austell, GA
NPI number
1972017374
Active
Practice location
1700 Hospital South Dr
Austell, GA 30106-6810
Fax (770) 948-9344
Mailing address
439 Fairway Dr
Acworth, GA 30101-6421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN236956 (GA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1972017374
Nicole Dubois Witt, AGACNP-BC's National Provider Identifier is 1972017374, issued on Nov 21, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Austell, GA. The record was last updated on Nov 21, 2017.