Individual
KRISTEN SOUTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN CPNP-PC
Contact information
Practice address
300 DAWSON COMMONS CIR STE 320, DAWSONVILLE, GA 30534-6268
(706) 216-2771
(706) 216-2944
Mailing address
5546 BARK CAMP RD, MURRAYVILLE, GA 30564-1804
(770) 654-4953
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN258617
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN258617
GA
Other
Enumeration date
01/28/2025
Last updated
02/18/2025
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