Individual
KRISTI THOMAS NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-3715
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
(706) 721-9286
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
RN117548
GA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
APRN-NP117548
GA
363LP0200X
Pediatric Nurse Practitioner
RN117548NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000814305C
—
GA
01
—
01365575
AMERIGROUP
GA
01
—
588940
WELLCARE
GA
Enumeration date
02/28/2010
Last updated
10/30/2025
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