Nicollette Louise Black-ballard
PMHNP | Nurse Practitioner - Psych/Mental Health
5127 Jimmy Carter Blvd Ste 205, Norcross
Georgia, 30093-1619
404-688-1350
Nicollette Louise Black-ballard is a Norcross, Georgia based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Nicollette Louise Black-ballard is 290443 for Psych/Mental Health in Georgia. Her current practice location is 5127 Jimmy Carter Blvd Ste 205, Norcross. Patients can reach her at 404-688-1350. Nicollette Louise Black-ballard is PMHNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1083439541.
Nicollette Louise Black-ballard provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Nicollette Louise Black-ballard speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Nicollette Louise Black-ballard |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | PMHNP |
| Practice Address: | 5127 Jimmy Carter Blvd Ste 205, Norcross,
Georgia, 30093-1619 |
| Phone: | 404-688-1350 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1083439541 |
| NPI Enumeration Date: | 20 Nov, 2024 |
| NPI Last Update On: | 09 Jan, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicollette Louise Black-ballard are as mentioned below.
| License Number | Specialization | State | Status | |
| 290443 | Psych/Mental Health | Georgia | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Nicollette Louise Black-ballard
2915 Ilir Mnr Nw,
Atlanta, Georgia |
| Zip: | 30318-2231 |
| Phone Number: | 404-748-8349 |
Patients can reach Nicollette Louise Black-ballard at
5127 Jimmy Carter Blvd Ste 205, Norcross, Georgia or can
call to book an appointment on 404-688-1350.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.