NICOLE M WILSON (NPI# 1952736449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952736449 |
| Entity Type | Individual |
| Full Name | NICOLE M WILSON |
| Credential | PHARMD, BCOP |
| Practice Address |
3650 Steve Reynolds Blvd Duluth GA 30096-4506 |
| Practice Telephone | 7709316368 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2014-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835X0200X |
Pharmacist Specialization: Oncology |
26021742A | IN | Pharmacy Service Providers |
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
RPH025014 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326544545 | Nicole Wilson | Occupational Therapy Assistant | 17415 N 92nd Ave, Peoria, AZ 85382-8214 | 2018-04-05 |
| 1679014997 | Nicole Lynn Wilson | Nurse's Aide | 2054 Magee St, Down, Lakewood, OH 44107-5238 | 2017-03-20 |
| 1598214801 | Nicole Wilson | Specialist/Technologist | 81 E Broadway St, Ipava, IL 61441-5236 | 2016-09-27 |
| 1144663725 | Nicole Ann Wilson | Military Health Care Provider | 4701 Apple Tree Dr, Alexandria, VA 22310-2802 | 2013-04-12 |
| 1851681027 | Nicole Wilson | Contractor | 933 N Rivershire Dr, Conroe, TX 77304-2793 | 2011-04-08 |
| 1275845547 | Nicole Olivia Wilson | Nurse Practitioner | 914 1st Ave Se, Minot, ND 58701-4008 | 2010-07-02 |
| 1093941056 | Nicole Sharee Wilson | Chiropractor | 1455 Westfield Ave Sw, North Canton, OH 44720-4235 | 2009-06-04 |
| 1891929923 | Nicole Marie Wilson | Chiropractor | 1411 Nw Raleigh Street, Portland, OR 97209-2573 | 2009-05-04 |
| 1902044217 | Nicole Ann Wilson | Pharmacist | 4 Railroad Street, St. Marys, PA 15857-1798 | 2009-01-23 |
| 1396344883 | Nicole Wilson | Technician | 111 Virginia Ave, Petersburg, WV 26847-1713 | 2020-10-26 |
| Street Address |
3650 STEVE REYNOLDS BLVD |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194893 | Barbara Joan Kell | Nurse Practitioner | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2005-06-16 |
| 1750906715 | Grace Elizabeth Mason | Nurse Practitioner | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2020-06-15 |
| 1881181584 | Cynthia Denise Humenic | Nurse Practitioner | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2018-04-18 |
| 1194230540 | Jenna Dannenbaum | Nurse Practitioner | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2017-12-07 |
| 1568994135 | Yolanda Gray-rozier | Registered Nurse | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2017-04-01 |
| 1306394655 | Carlie Lynne Adams | Dietitian, Registered | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2016-09-15 |
| 1114379757 | Miriam Abouelnasr Gomes | Physician Assistant | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2016-07-07 |
| 1699158584 | Ann Whitaker | Dietitian, Registered | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2015-07-09 |
| 1548643968 | Paula Gilman | Dietitian, Registered | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2015-07-02 |
| 1750763173 | Emily Kim | Internal Medicine | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2015-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063961852 | Yimegnushal Ahmed Ahmed | Pharmacist | 6300 Hospital Parkway, Duluth, GA 30097 | 2016-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376153585 | Rita Ilenre | Pharmacist | 194 Champion Way, Hiram, GA 30141-5247 | 2020-08-03 |
| 1114461571 | Donna Michelle Smith | Pharmacist | 162 Eastfield Ct, Alpharetta, GA 30005-7506 | 2016-12-05 |
| 1760939920 | Katherine Danyo | Pharmacist | 1581 Windsor Pkwy Ne, Brookhaven, GA 30319-2740 | 2016-09-06 |
| 1073919247 | James Lewis | Pharmacist | 805 Peachtree St Ne, #209, Atlanta, GA 30308-6009 | 2014-11-14 |
| 1740454198 | Allison Lindsay Boozer | Pharmacist | 630 Cobb Pkwy N, Ste A, Marietta, GA 30062-3372 | 2008-04-16 |
| 1497393268 | Stephanie Knight Ellis | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2019-12-12 |
| 1801430749 | Adam Whitney Gates | Pharmacist | 1100 Johnson Ferry Rd, Atlanta, GA 30342-1709 | 2019-11-04 |
| 1457859365 | Kristina Hazard | Pharmacist | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2018-01-25 |
| 1063952752 | Kayla Randle | Pharmacist | 2400 Mount Zion Pkwy, Suite 116, Jonesboro, GA 30236-2500 | 2017-03-01 |
| 1073061891 | Sima Adlakha | Pharmacist | 1505 Northside Blvd Ste 4600, Cumming, GA 30041-7658 | 2016-09-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.