Individual provider · Type 1 NPI

Coretta D. Keith, DNP, FNP-BC

Nurse Practitioner · Tifton, GA

NPI number 1306884374 Active

Practice location

901 18th St E
Tifton, GA 31794-3648

Mailing address

116 Beowulf Ln
Leesburg, GA 31763-5831

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP4450 (AZ)
Nurse Practitioner Primary 363L00000XRN124581 (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 1306884374

Coretta D. Keith, DNP, FNP-BC's National Provider Identifier is 1306884374, issued on Jun 3, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tifton, GA. The record was last updated on May 4, 2021.