RENEE PROVOST NPI 1063318889

NPI Information

  • NPI: 1063318889
  • Provider Name: RENEE PROVOST
  • Classification: Emergency Medical Technician, Paramedic - 146L00000X
  • Entity Type: Individual
  • Address: 3211 OLD RIGGS MILL RD
    STATESBORO, GA
    ZIP 30458
  • Phone: (828) 226-7033

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NPI Details

Renee Provost is an emergency medical technician paramedic in Statesboro, GA. The provider is an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. Renee Provost NPI is 1063318889. The provider is registered as an individual entity type.

The provider's business location address is:

3211 OLD RIGGS MILL RD
STATESBORO, GA
ZIP 30458-282
Phone: (828) 226-7033

The enumeration date for this NPI number is 10/19/2026 and was last updated on 10/19/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1146L00000XEmergency Medical Technician, ParamedicYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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