| Doctor Name: | TRACY PURCELL NICHOLAS |
| NPI Number: | 1003095977 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 185022 |
| Business Practice Address: | 1968 Peachtree Rd Nw Piedmont Hospital Transplant Services Atlanta, GA - 303091281 |
| Business Phone Number: | 4046054602 |
| Business Fax Number: | |
| Mailing Address: | 1968 Peachtree Rd Nw, Piedmont Hospital Transplant Services ATLANTA |
| State: | GA |
| Postal Code: | 303091281 |
| Phone Number: | 4046054602 |
| Fax Number: | |
| NPI Enumeration Date: | 10/29/2007 |
| NPI Last Update Date: | 10/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 185022 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |