MRS. NICOLE MICHELLE BOONE NP-C NPI 1043472541

NPI Information

NPI: 1043472541
Provider Name: MRS. NICOLE MICHELLE BOONE, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
115 FIDDLERS RDG
FAIRBURN, GA
ZIP 30213
Phone: (770) 716-8781
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MRS. Nicole Michelle Boone, NP-C is a family nurse practitioner in Fairburn, GA with 17 years of experience. MRS. Nicole Michelle Boone, NP-C NPI is 1043472541. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2007

The provider's business location address is:

115 FIDDLERS RDG
FAIRBURN, GA
ZIP 30213-484
Phone: (770) 716-8781

The NPI 1043472541 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2008 and was last updated on 6/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN160520	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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