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NPI Code Detail

MEDICARE: NICOLE JUNE KRUMMEL APRN

MEDICARE: NICOLE JUNE KRUMMEL APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner232335GA

General Provider Information

NPI Number : 1043737182
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE JUNE KRUMMEL APRN
Provider Business Mailing Address
First Line : 5965 PARKWAY NORTH BLVD STE C
Second Line :
City : CUMMING
State : GA
Zip : 30040-1431
Country : US
Telephone Number : 770-886-5700
Fax Number :
Provider Business Practice Location Address
First Line : 5965 PARKWAY NORTH BLVD STE C
Second Line :
City : CUMMING
State : GA
Zip : 30040-1431
Country : US
Telephone Number : 770-886-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2017
Last Update Date : 07/21/2022

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Directions to “ NICOLE JUNE KRUMMEL APRN” Practice Location

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