Organization · Type 2 NPI

Healthstat On-Site Clinic/milliken Kingsley

Nurse Practitioner · Thomson, GA

NPI number 1043645914 Active

Practice location

2598 Washington Rd
Thomson, GA 30824-6651

Mailing address

PO Box 1433
Portsmouth, NH 03802-1433

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (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 wit…

About NPI 1043645914

Healthstat On-Site Clinic/milliken Kingsley's National Provider Identifier is 1043645914, issued on Sep 10, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Thomson, GA. The record was last updated on Apr 22, 2026.