Individual
DIANA LYNN KREISMANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
107 JACKSON AVE, THOMASTON, GA 30286-3481
(678) 544-1107
Mailing address
107 JACKSON AVE, STE A, THOMASTON, GA 30286-3481
(706) 647-8101
(706) 647-8543
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN245695
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F10190682
AMERICAN ACADEMY OF NURSE PRACTITIONERS
GA
Enumeration date
11/13/2019
Last updated
01/12/2021
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