KIMBERLY LA'SAE NATSON


Address: 722 Cannock Loop, Grovetown, GA 30813-3965
Phone: 9124810080

KIMBERLY LA'SAE NATSON (NPI# 1558970608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558970608
Entity Type Individual
Full Name KIMBERLY LA'SAE NATSON
Credential NP
Practice Address 722 Cannock Loop
Grovetown
GA 30813-3965
Practice Telephone 9124810080
Enumeration Date 2020-07-24
Last Update Date 2020-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN203133 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 722 CANNOCK LOOP
City GROVETOWN
State GA
Zip Code 30813-3965

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1548519481 Ashley Roberts Saunders Pharmacist 869 Horizon South Parkway, Grovetown, GA 30813 2012-09-06
1447569694 Wallace Allen Partridge Jr. Pharmacist 5104 Wrightsboro Rd., Fred's Pharmacy 1699, Grovetown, GA 30813 2010-10-05
1497908149 Sharon M Blair Registered Nurse 7640 Pleasantville Way, Grovetown, GA 30813 2008-10-28
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1356958060 Earl Delk Nurse Practitioner 3365 Ridgerock Way, Snellville, GA 30078-4176 2020-09-26
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1457963746 Evelyn Ahiante Dennis Nurse Practitioner 3325 Emden Ct, Snellville, GA 30039-6047 2020-08-19
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Competitor

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City GROVETOWN
Zip Code 30813

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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