Individual provider · Type 1 NPI

Deliah Joy Provost-Boothe

Family Nurse Practitioner · Covington, GA

NPI number 1891619631 Active

Practice location

250 Shiver Blvd
Covington, GA 30016-1905

Call (678) 237-6470 Map

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XXXXX (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1891619631

Deliah Joy Provost-Boothe's National Provider Identifier is 1891619631, issued on Aug 5, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Covington, GA. The record was last updated on Aug 5, 2026.