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

Nicollette Louise Black-Ballard, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1083439541

Nicollette Louise Black-Ballard, PMHNP is a Psychiatric/Mental Health Nurse Practitioner in Norcross, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

5127 Jimmy Carter Blvd Ste 205
Norcross, GA 30093-1619
Phone: (404) 688-1350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 290443 (GA)

Record details

NPI number1083439541
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedNovember 20, 2024
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

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