Individual
KIERSTIN MARTRICE BOUKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3096 BONNES DR, LITHONIA, GA 30038-1573
(803) 834-9371
Mailing address
3096 BONNES DR, LITHONIA, GA 30038-1573
(803) 834-9371
(706) 432-4798
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN292418
GA
Other
Enumeration date
02/25/2025
Last updated
09/25/2025
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