DR. SHANTRICE BERNICE NICHOLS-BATES DNP FNP-C NPI 1245603844

NPI Information

NPI: 1245603844
Provider Name: DR. SHANTRICE BERNICE NICHOLS-BATES, DNP, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4550 JONESBORO RD STE A2-314
UNION CITY, GA
ZIP 30291
Phone: (470) 316-8028
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DR. Shantrice Bernice Nichols-bates, DNP, FNP-C is a family nurse practitioner in Union City, GA with 9 years of experience. DR. Shantrice Bernice Nichols-bates, DNP, FNP-C NPI is 1245603844. 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:

4550 JONESBORO RD STE A2-314
UNION CITY, GA
ZIP 30291-050
Phone: (470) 316-8028
Fax: (678) 519-2736

The NPI 1245603844 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 11/4/2015 and was last updated on 4/26/2023.

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	901369	MISSISSIPPI	No
2	363LF0000X	Nurse Practitioner	Family	201508267NP-PP	OREGON	No
3	363LF0000X	Nurse Practitioner	Family	GAA-NP000049	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: 5/5/2024

NPI Synchronization or Removal

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