Individual provider · Type 1 NPI
Jeremy Petty, FNP-C
Family Nurse Practitioner · Columbus, GA
NPI number
1942515812
Active
Practice location
4561 River Rd Ste A
Columbus, GA 31904-5828
Fax (706) 229-4883
Mailing address
PO Box 740015
Atlanta, GA 30374-0015
Other practice locations
- 2737 Warm Springs Rd, Columbus, GA 31904-6859 · (706) 653-2255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN-NP175210 (GA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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- Gabriele Polk-SeldonFamily Nurse Practitioner Columbus, GA NPI 1023491172
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- Lauren M. Kibby, MSN, APRN, FNP-BCFamily Nurse Practitioner Columbus, GA NPI 1023550423
About NPI 1942515812
Jeremy Petty, FNP-C's National Provider Identifier is 1942515812, issued on Aug 16, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbus, GA. The record was last updated on Nov 4, 2025.