Individual
KESHIA ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 W 4TH ST STE 200, COOKEVILLE, TN 38501-2489
(931) 372-0405
(931) 372-0463
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22439
TN
363LF0000X
Family Nurse Practitioner
22439
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100470230
—
KY
05
—
Q027421
—
TN
Enumeration date
03/16/2017
Last updated
04/17/2025
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