Provider Profile

Unclaimed Profile

About

Listed in the NPI registry as a nurse practitioner — family, practices in Grovetown, GA. NPI 1780285486 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Nurse Practitioner — Family (Primary)

Credentials & Licensing

NPI1780285486
NPI issued11/08/2020

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

What does specialize in?

is a nurse practitioner in Grovetown, GA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

Where is located?

is listed at 1361 Highwoods Pass, Grovetown, GA 30813. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is 's phone number?

The number on file is (706) 267-1663. Contact the office directly to confirm availability and scheduling.

NPI registry

What is 's NPI number?

's National Provider Identifier is 1780285486. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has been practicing?

has 6+ years experience. Registered with an NPI since 2020. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by . If this is you, claiming it is free.

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Guide.md listings do not constitute medical advice or an endorsement.