Individual
KISHA MESHUN PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
5126 HOSPITAL DR NE STE 102, COVINGTON, GA 30014-2566
(770) 385-4453
Mailing address
508 BETHELVIEW DR, HAMPTON, GA 30228-4825
(850) 624-5436
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
RN194819
GA
163WX0200X
Oncology Registered Nurse
RN194819
GA
363L00000X
Nurse Practitioner
Primary
NCO-000001
GA
363L00000X
Nurse Practitioner
Primary
NP194819
GA
363LA2200X
Adult Health Nurse Practitioner
NCO-000001
GA
363LG0600X
Gerontology Nurse Practitioner
NCO-000001
GA
Other
Enumeration date
03/08/2019
Last updated
01/14/2026
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