Individual provider · Type 1 NPI

Anna Kennedy Lavender, FNP-BC

Nurse Practitioner · Tifton, GA

NPI number 1659840916 Active

Practice location

1430 US Highway 82 W Ste 105
Tifton, GA 31793-8010

Mailing address

96 Newton Rd
Ashburn, GA 31714-3673

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN223764 (GA)

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 1659840916

Anna Kennedy Lavender, FNP-BC's National Provider Identifier is 1659840916, issued on Nov 16, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tifton, GA. The record was last updated on Nov 16, 2018.