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KRISTINA EVERSON ABT NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1962993519

Individual Registrant:
 KRISTINA EVERSON ABT NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
601 11TH AVE  ALBANY, GA 31701-1645 US
Tel: 229-430-4140  Fax: --

Contact information for business:
PO BOX 1988  ALBANY, GA 31702-1988 US
Tel: 229-430-4140  Fax: --

Registration Information:
NPI: 1962993519
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN140474

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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