Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Temica Bohannon Niblack

Individual provider Adult Health Nurse Practitioner · NPI 1598126179

Mrs. Temica Bohannon Niblack is an Adult Health Nurse Practitioner in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

100 Halcyon Ct
Fayetteville, GA 30214-5375
Phone: (770) 241-6044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence RN157878 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN157878 (GA)

Record details

NPI number1598126179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 10, 2016
Last updated in NPPESMarch 10, 2016

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