MRS. MOLLIE CHRISTENE HEADRICK FNP NPI 1336286723

NPI Information

NPI: 1336286723
Provider Name: MRS. MOLLIE CHRISTENE HEADRICK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1990 LAKESIDE PKWY STE 170
TUCKER, GA
ZIP 30084
Phone: (770) 938-1757
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MRS. Mollie Christene Headrick, FNP is a family nurse practitioner in Tucker, GA with 22 years of experience. MRS. Mollie Christene Headrick, FNP NPI is 1336286723. 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:

1990 LAKESIDE PKWY STE 170
TUCKER, GA
ZIP 30084-883
Phone: (770) 938-1757
Fax: (770) 938-1759

The NPI 1336286723 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 2/1/2007 and was last updated on 7/8/2007.

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	RN134270	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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