Individual provider · Type 1 NPI
Susan Prouse
Family Nurse Practitioner · Bainbridge, GA
NPI number
1689244063
Active
Practice location
1408 Tallahassee Hwy Ste Z
Bainbridge, GA 39819-7900
Mailing address
1500 1st Ave N Unit 3
Birmingham, AL 35203-1866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN170978 (GA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Bainbridge
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- January Michelle Floyd, FNP-CFamily Nurse Practitioner Bainbridge, GA NPI 1427888346
About NPI 1689244063
Susan Prouse's National Provider Identifier is 1689244063, issued on Jun 29, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bainbridge, GA. The record was last updated on Jun 29, 2021.