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NPI Code Detail

MEDICARE: AMBER NIXON

MEDICARE: AMBER NIXON
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 PractitionerRN277937GA

General Provider Information

NPI Number : 1982418778
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER NIXON
Provider Business Mailing Address
First Line : 465 MEMORIAL DR SE UNIT 118
Second Line :
City : ATLANTA
State : GA
Zip : 30312-2210
Country : US
Telephone Number : 678-392-7137
Fax Number :
Provider Business Practice Location Address
First Line : 3280 HOWELL MILL RD NW STE T100
Second Line :
City : ATLANTA
State : GA
Zip : 30327-4122
Country : US
Telephone Number : 404-355-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2025
Last Update Date : 02/03/2025

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Directions to “ AMBER NIXON ” Practice Location

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