Individual
MRS. JODI EVANS LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
505 S CHURCH ST STE C, HAHIRA, GA 31632-1413
(229) 658-6610
(912) 999-3208
Mailing address
269 OLD TY TY RD, TIFTON, GA 31793-6608
(229) 658-6610
(912) 999-3208
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN203572
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN203572
GA
Other
Enumeration date
05/30/2018
Last updated
07/08/2025
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