Nicole Jane Camp, FNP
Registered Nurse in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1477910941
StatusActive
Last updated in NPPESSep 30, 2021
Details
- NPI
- 1477910941
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole Jane Camp
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2016
- Certification date
- Sep 30, 2021
- Last updated
- Sep 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN217901 | GA | Yes |
| 176B00000X | Midwife | RN217901 | GA | |
| 363LF0000X | Nurse Practitioner, Family | RN 217901 | GA |
Other names
- Nicole Hicks (Other Name)
Practice location
601 Professional DriveLawrenceville, GA 30046
Phone 678-393-6348 · Fax 678-541-6763
Mailing address
601 Professional DriveLawrenceville, GA 30046
Phone 678-393-6348 · Fax 678-541-6763
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