Provider Demographics
NPI:1548080435
Name:WHITLOW, NZINGHA M (BSN, RN, LPN)
Entity type:Individual
Prefix:
First Name:NZINGHA
Middle Name:M
Last Name:WHITLOW
Suffix:
Gender:F
Credentials:BSN, RN, LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3060 MERCER UNIVERSITY DR STE 110
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-4135
Mailing Address - Country:US
Mailing Address - Phone:470-502-5119
Mailing Address - Fax:770-693-1410
Practice Address - Street 1:3060 MERCER UNIVERSITY DR STE 110
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-4135
Practice Address - Country:US
Practice Address - Phone:470-502-5119
Practice Address - Fax:770-693-1410
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN306225163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse