MS. NICKY S TOMBLIN CNM
NPI 1427413285
Nurse Practitioner - Obstetrics & Gynecology in Gainesville, GA

Active since December 22, 2015
1315 JESSE JEWELL PKWY NE STE 200, GAINESVILLE, GA 30501(770) 219-9443 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 8, 2020, Dec 22, 2015 (2 updates tracked since 2015).

  • Individual
  • Female
  • Nurse Practitioner
  • Obstetrics & Gynecology

About NICKY TOMBLIN

This page provides the complete NPI Profile along with additional information for Nicky Tomblin, a provider established in Gainesville, Georgia with a medical specialization in Nurse Practitioner, focusing in obstetrics & gynecology . The healthcare provider is registered in the NPI registry with number 1427413285 assigned on December 2015. The practitioner's primary taxonomy code is 363LX0001X with license number NMW235760 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1427413285 Verify this NPI
Provider Name
MS. NICKY S TOMBLIN CNM
Other Name
MRS. NICKY S PETERSON CNM
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1315 JESSE JEWELL PKWY NE STE 200 GAINESVILLE, GA 30501
Location Phone
(770) 219-9443
Mailing Address
1315 JESSE JEWELL PKWY NE STE 200 GAINESVILLE, GA 30501
Mailing Phone
(770) 219-9443
Is Sole Proprietor?
No
Enumeration Date
12-22-2015
Last Update Date
05-08-2020
Code Navigator

A nurse practitioner (NP) like Nicky Tomblin is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 743 Spring St NE
    Gainesville, GA 30501
    (770) 219-9443
  • 100 Brewster Blvd Naval Hospital,
    Camp Lejeune, NC 28547
    (910) 449-2573

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Obstetrics & Gynecology

Taxonomy Code
363LX0001X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
NMW235760
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LW0102XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Women's Health

95003494 (CA)

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
1315 JESSE JEWELL PKWY NE STE 200
GAINESVILLE, GA 30501
Obstetrics & Gynecology
1315 JESSE JEWELL PKWY NE STE 200
GAINESVILLE, GA 30501
Obstetrics & Gynecology
1315 JESSE JEWELL PKWY NE STE 200
GAINESVILLE, GA 30501
Obstetrics & Gynecology
1315 JESSE JEWELL PKWY NE STE 200
GAINESVILLE, GA 30501
Advanced Practice Midwife
1315 JESSE JEWELL PKWY NE STE 200
GAINESVILLE, GA 30501
Obstetrics & Gynecology
1315 JESSE JEWELL PKWY NE STE 200
GAINESVILLE, GA 30501
Registered Nurse (Maternal Newborn)
1315 JESSE JEWELL PKWY NE STE 200
GAINESVILLE, GA 30501
Nurse Practitioner (Psychiatric/Mental Health)
1315 JESSE JEWELL PKWY NE STE 200
GAINESVILLE, GA 30501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427413285, enumerated as an "individual" on December 22, 2015.

The provider is located at 1315 JESSE JEWELL PKWY NE STE 200 GAINESVILLE, GA 30501 and the phone number is (770) 219-9443.

Nurse Practitioner with taxonomy code 363LX0001X and a focus in Obstetrics & Gynecology.