Individual
MS. KEESHA LATREACE NATHANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
238 SUMMAR DR, JACKSON, TN 38301-3906
(731) 541-8200
Mailing address
1804 HIGHWAY 45 BYP STE 604, JACKSON, TN 38305-4403
(731) 660-8781
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN14576
TN
Other
Enumeration date
08/07/2011
Last updated
12/14/2025
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