Provider Demographics
NPI:1972309938
Name:NISBETT, CATHERINE (RN)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:NISBETT
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6785 RAVINES CT
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-4700
Mailing Address - Country:US
Mailing Address - Phone:678-431-7388
Mailing Address - Fax:
Practice Address - Street 1:6785 RAVINES CT
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-4700
Practice Address - Country:US
Practice Address - Phone:678-431-7388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA090712163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health