Individual provider · Type 1 NPI

Penny D. Booth, CFNP

Family Nurse Practitioner · Tifton, GA

NPI number 1710078423 Active

Practice location

901 18th St E
Tifton, GA 31794-3648

Mailing address

907 18th St E Ste 400
Tifton, GA 31794-3684

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN202921 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1710078423

Penny D. Booth, CFNP's National Provider Identifier is 1710078423, issued on Sep 27, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tifton, GA. The record was last updated on Mar 30, 2021.