Tina Thibault Vincent, N.P.
Nurse Practitioner, Family in Marietta, GA. Individual provider (NPI-1).
NPI number1508090903
StatusActive
Last updated in NPPESMay 13, 2009
Details
- NPI
- 1508090903
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tina Thibault Vincent
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 13, 2009
- Last updated
- May 13, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN163999 NP | GA | Yes |
Other names
- Tina Marie Thibault (Former Name)
Practice location
4757 Netherstone Ct NeMarietta, GA 30066-6908
Phone 678-494-8939 · Fax 678-264-2236
Mailing address
4757 Netherstone Ct NeMarietta, GA 30066-6908
Phone 678-494-8939 · Fax 678-264-2236
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