Provider Demographics
NPI:1649025131
Name:NESBITT, YOLANDA (RN, BSN, CMGT-BC)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:NESBITT
Suffix:
Gender:F
Credentials:RN, BSN, CMGT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1057 SANS SOUCI WAY
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:GA
Mailing Address - Zip Code:30021-2733
Mailing Address - Country:US
Mailing Address - Phone:470-957-6133
Mailing Address - Fax:
Practice Address - Street 1:1057 SANS SOUCI WAY
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:GA
Practice Address - Zip Code:30021-2733
Practice Address - Country:US
Practice Address - Phone:470-957-6133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN188188163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management