Individual provider · Type 1 NPI

Laurie J. Gautney, C.R.N.P.

Nurse Practitioner · Tifton, GA

NPI number 1457547309 Active

Practice location

2225 US Highway 41 N
Tifton, GA 31794-2749

Mailing address

907 18th St E Ste 400
Tifton, GA 31794-3684

Other practice locations

  • 901 18th St E, Tifton, GA 31794-3648 · (229) 382-7120

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP213264 (GA)
Adult Health Nurse Practitioner 363LA2200X1-041497 (AL)

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 1457547309

Laurie J. Gautney, C.R.N.P.'s National Provider Identifier is 1457547309, issued on Sep 24, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tifton, GA. The record was last updated on Oct 11, 2025.