Individual provider · Type 1 NPI

Selina E. Revels, NP

Nurse Practitioner · Baxley, GA

NPI number 1164416723 Active

Practice location

275 N Main St
Baxley, GA 31513-0516

Fax (912) 705-8010

Other practice locations

  • 204E 15th St, Alma, GA 31510-2908 · (912) 632-2952

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN073465 (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…

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About NPI 1164416723

Selina E. Revels, NP's National Provider Identifier is 1164416723, issued on Sep 9, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Baxley, GA. The record was last updated on May 9, 2023.