KEYATTA LACKEY CPNP NPI 1417187287

NPI Information

NPI: 1417187287
Provider Name: KEYATTA LACKEY, CPNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
1405 CLIFTON RD NE
ATLANTA, GA
ZIP 30322
Phone: (404) 785-6330
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Keyatta Lackey, CPNP is an acute care nurse practitioner in Atlanta, GA. Keyatta Lackey, CPNP NPI is 1417187287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1405 CLIFTON RD NE
ATLANTA, GA
ZIP 30322-060
Phone: (404) 785-6330
Fax: (404) 785-6266

The enumeration date for this NPI number is 7/15/2009 and was last updated on 6/6/2022.

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
1	363LA2100X	Nurse Practitioner	Acute Care	RN289907	GEORGIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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