Individual provider · Type 1 NPI

Tammi L. Cantrell

Primary Care Nurse Practitioner · Fort Valley, GA

NPI number 1629962238 Active

Practice location

966 Brock Rd
Fort Valley, GA 31030-5232

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XRN172049 (GA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1629962238

Tammi L. Cantrell's National Provider Identifier is 1629962238, issued on Jun 6, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fort Valley, GA. The record was last updated on Jun 6, 2025.