Most Relevant Information
Provider Data
| NPI Number: | 1003207804 |
| Provider Name: | NICOLE COOLIDGE CPNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN191595 |
Most Important Dates
| Enumeration Date: | 02/15/2015 |
| Last Updated: | 06/06/2022 |
Provider Practice Location
1405 CLIFTON RD NE
ATLANTA
GA
303221060
Practice Location Phone/Fax
| Phone: | 4047856330 |
| Fax: | 4047856266 |
Provider Mailing Location
1405 CLIFTON RD NE
ATLANTA
GA
303221060
Provider Mailing Phone/Fax
| Phone: | 4047856330 |
| Fax: | 4047856266 |