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

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XRN236956 (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.