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Dr. Coretta D. Keith, DNP,FNP-BC
Nurse Practitioner in Tifton, Georgia
NPI 1306884374

Coretta D. Keith is a Nurse Practitioner based in Leesburg, GA. Coretta D. Keith practices in Tifton, GA and has the professional credentials of DNP,FNP-BC. The NPI Number for Coretta D. Keith is 1306884374 and holds a License No. AP4450 (Georgia).

The current practice location address for Coretta D. Keith is 901 18Th St E, Tifton, GA and can be reached out via phone at 229-382-7120.

Location: 901 18Th St E, Tifton, GA, 31763-5831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306884374
Provider Name
Coretta D. Keith
Credential
DNP,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
901 18Th St E, Tifton, GA, 31763-5831
Phone Number
229-382-7120
Fax Number
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00266428 01 GA RAILROAD MEDICARE
000927198E 05 GA
institution
Provider Business Practice Location Address Details
Address
901 18Th St E
City
Tifton
State
Georgia
Zip
31794-3648
Phone Number
229-382-7120
Fax Number
person
Provider Business Mailing Address Details
Address
901 18Th St E
City
Tifton
State
Georgia
Zip
31794-3648
Phone Number
229-382-7120
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN124581 (Georgia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP4450 (Arizona)
Definition
Definition to come...
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