NICOLE KILLIAN NPI 1679985691

NPI Information

  • NPI: 1679985691
  • Provider Name: NICOLE KILLIAN
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3619 BRASELTON HWY STE 103
    DACULA, GA
    ZIP 30019
  • Phone: (770) 513-8882

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NPI Details

Nicole Killian is a pediatrics nurse practitioner in Dacula, GA. Nicole Killian NPI is 1679985691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3619 BRASELTON HWY STE 103
DACULA, GA
ZIP 30019-668
Phone: (770) 513-8882

The NPI 1679985691 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 5/25/2014 and was last updated on 11/26/2014.

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
1363LP0200XNurse PractitionerPediatricsRN207183GEORGIAYes

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: 11/21/2025

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