Individual provider · Type 1 NPI

Dominique K. Bethea, NP

Family Nurse Practitioner · Lawrenceville, GA

NPI number 1396201885 Active

Practice location

771 Old Norcross Rd Ste 200
Lawrenceville, GA 30046-4980

Fax (770) 962-7868

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN281107 (GA)

Family Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1396201885

Dominique K. Bethea, NP's National Provider Identifier is 1396201885, issued on Feb 20, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lawrenceville, GA. The record was last updated on Apr 13, 2023.