Individual
KEISHA CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
569 HITCHCOCK RD, UVALDA, GA 30473-4015
(912) 585-7089
Mailing address
569 HITCHCOCK RD, UVALDA, GA 30473-4015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN224495
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F11240387
AMERICAN ACADEMY OF NURSE PRACTIONERS CERTIFYING BOARD-FAMILY NURSE PRACTIONER
—
Enumeration date
12/16/2024
Last updated
12/16/2024
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