| Doctor Name: | MS. NICOLE P BIZZELL |
| NPI Number: | 1013101443 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | RN155124 NP |
| Business Practice Address: | 129 Carl Vinson Pkwy Warner Robins, GA - 310885817 |
| Business Phone Number: | 4783223800 |
| Business Fax Number: | 4773220031 |
| Mailing Address: | 129 Carl Vinson Pkwy, WARNER ROBINS |
| State: | GA |
| Postal Code: | 310885817 |
| Phone Number: | 4783223800 |
| Fax Number: | 4773220031 |
| NPI Enumeration Date: | 08/29/2007 |
| NPI Last Update Date: | 08/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN155124 NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |