Individual
ISRAEL SAUCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 353-7050
Mailing address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 353-7050
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-NP170526
GA
363LF0000X
Family Nurse Practitioner
APRN-NP170526
GA
Other
Enumeration date
07/09/2014
Last updated
10/10/2025
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