MRS. TEMICA BOHANNON NIBLACK NPI 1598126179

NPI Information

NPI: 1598126179
Provider Name: MRS. TEMICA BOHANNON NIBLACK
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
100 HALCYON CT
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 241-6044
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MRS. Temica Bohannon Niblack is an adult health nurse practitioner in Fayetteville, GA. MRS. Temica Bohannon Niblack NPI is 1598126179. 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:

100 HALCYON CT
FAYETTEVILLE, GA
ZIP 30214-375
Phone: (770) 241-6044

The enumeration date for this NPI number is 3/10/2016 and was last updated on 3/10/2016.

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	363LG0600X	Nurse Practitioner	Gerontology	RN157878	GEORGIA	No
2	363LA2200X	Nurse Practitioner	Adult Health	RN157878	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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