Individual provider · Type 1 NPI

Kenneth Wayne Waddell Jr., NP

Nurse Practitioner · Forsyth, GA

NPI number 1124504782 Active

Practice location

120 N Lee St Ste A
Forsyth, GA 31029

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN249530 (GA)

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…

2 other providers at this address

About NPI 1124504782

Kenneth Wayne Waddell Jr., NP's National Provider Identifier is 1124504782, issued on Jul 17, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Forsyth, GA. The record was last updated on Jul 18, 2018.