Search › Georgia › 111N00000X
Kendra Nickerson
NPI 1992502397 · on the registry since 2025 · sole proprietor
Practice
- Address
- 40 Eastbrook Bnd Ste C
Peachtree City, GA 30269 - Phone
- (770) 487-9898
- Organisation at this address
- Guppy Again, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia