Individual provider · Type 1 NPI
Sidney Donette Medina
Psychiatric/Mental Health Nurse Practitioner · Columbus, GA
NPI number
1437861168
Active
Practice location
2100 Comer Ave
Columbus, GA 31904-8725
Mailing address
1150 NW 72nd Ave Ste 455
Miami, FL 33126-1947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | GAA-NP001222 (GA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | GAA-NP003512 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1437861168
Sidney Donette Medina's National Provider Identifier is 1437861168, issued on Dec 13, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Columbus, GA. The record was last updated on Sep 15, 2025.