Provider Demographics
NPI:1619750486
Name:BISHOP, ALAINA CANDICE (FNP-C)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:CANDICE
Last Name:BISHOP
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 TECHNOLOGY PKWY NW
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-1369
Mailing Address - Country:US
Mailing Address - Phone:762-235-1000
Mailing Address - Fax:
Practice Address - Street 1:5470 MARTHA BERRY HWY NE
Practice Address - Street 2:
Practice Address - City:ARMUCHEE
Practice Address - State:GA
Practice Address - Zip Code:30105-2302
Practice Address - Country:US
Practice Address - Phone:762-235-3830
Practice Address - Fax:706-291-9391
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN268384363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner