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Contact Information

TARRA M NELSON, NP-C
1400 NORTHSIDE FORSYTH DR
STE 250
CUMMING, GA30041-7668
 Phone: 770-889-7118
 Fax: 770-844-7835
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TARRA M NELSON · (Female)

NPI Number 1295722973
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 09/29/2005
Last updated 02/02/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN112198
  • GA Medicaid 000806979H
  • GA Medicaid 000806979I
  • GA Medicaid 000806979J
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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