Provider Demographics
NPI:1841588712
Name:HUELSBECK, PATRICIA NECOLE (NP-ADVANCED PRACTICE)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:NECOLE
Last Name:HUELSBECK
Suffix:
Gender:F
Credentials:NP-ADVANCED PRACTICE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 JESSE JEWELL PARKWAY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3086
Mailing Address - Country:US
Mailing Address - Phone:770-219-7099
Mailing Address - Fax:770-219-7923
Practice Address - Street 1:200 S. ENOTA DRIVE
Practice Address - Street 2:SUITE #380
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3473
Practice Address - Country:US
Practice Address - Phone:770-219-7099
Practice Address - Fax:770-219-7923
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN124420363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner