Lavender, Anna Kennedy

Lavender, Anna Kennedy is an individual health care provider with primary practice located at 1430 Us Highway 82 W Ste 105 , Tifton GA 31793-8010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lavender, Anna Kennedy can be contacted via phone (229) 388-0266.

Contact Information

Primary practice address
1430 Us Highway 82 W Ste 105 Tifton GA 31793-8010
Phone: (229) 388-0266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN223764 Georgia

Profile Details

NPI number 1659840916
LBN Legal business name Lavender, Anna Kennedy
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2018
Last updated Nov 16th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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