Pearson, Nicole Haynes

Pearson, Nicole Haynes is an individual health care provider with primary practice located at 980 Johnson Ferry Rd Ne Suite 660, Atlanta GA 30342-1626. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Pearson, Nicole Haynes can be contacted via phone (404) 847-1592.

Contact Information

Primary practice address
980 Johnson Ferry Rd Ne Suite 660 Atlanta GA 30342-1626
Phone: (404) 847-1592
Fax: (404) 303-2015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN122509 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN122509 Georgia

Profile Details

NPI number 1538224514
LBN Legal business name Pearson, Nicole Haynes
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Apr 14th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538224514 NPPES
Georgia MEDICAID 000881449F
Georgia MEDICAID 000881449G

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