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Individual

MRS. KEYWANNA NICHOLE PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
571 HENRIETTA ST, KINGSLAND, GA 31548
(229) 537-0367
Mailing address
571 HENRIETTA ST, KINGSLAND, GA 31548-3233
(229) 537-0367

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9469908
FL
363LF0000X
Family Nurse Practitioner
RN209933
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN209933
GA

Other

Enumeration date
01/11/2016
Last updated
09/22/2020
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