Individual provider · Type 1 NPI

Keaton Peak

Nurse Practitioner · Dothan, AL

NPI number 1467017335 Active

Practice location

1108 Ross Clark Cir
Dothan, AL 36301

Mailing address

1419 Peak Rd
Westville, FL 32464-3072

Other practice locations

  • 1108 Ross Clark Cir, Dothan, AL 36301 · (334) 793-8111

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X1-147512 (AL)
Nurse Practitioner Primary 363L00000X1-147512 (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 1467017335

Keaton Peak's National Provider Identifier is 1467017335, issued on May 7, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dothan, AL. The record was last updated on Sep 11, 2019.