Organization · Type 2 NPI
Revival Wound Specialists LLC
Nurse Practitioner · Perry, GA
Practice location
302 Bermuda Rdg
Perry, GA 31069-8756
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
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…
About NPI 1689531709
Revival Wound Specialists LLC's National Provider Identifier is 1689531709, issued on Jan 9, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Perry, GA. The record was last updated on Jan 9, 2026.