MEDICARE: NIKKOLE K SAXON

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
1	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1205788635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKKOLE K SAXON

Provider Business Mailing Address
First Line	:	3371 BRIDLE RUN TRL NW
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-1785
Country	:	US
Telephone Number	:	678-699-0555
Fax Number	:

Provider Business Practice Location Address
First Line	:	3371 BRIDLE RUN TRL NW
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-1785
Country	:	US
Telephone Number	:	678-699-0555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ NIKKOLE K SAXON ” Practice Location

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