Healthcare Provider Details

I. General information

NPI: 1174547913
Provider Name (Legal Business Name): AMETHYST ALTHEA NELSON- PRESTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3494 HILL DR
DULUTH GA
30096-4112
US

IV. Provider business mailing address

3494 HILL DR
DULUTH GA
30096-4112
US

V. Phone/Fax

Practice location:
  • Phone: 140-431-4373
  • Fax: 770-837-3701
Mailing address:
  • Phone: 140-431-4373
  • Fax: 770-837-3701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: