SUPATHA KIMBLE PETERS FNP-C NPI 1861984445

NPI Information

NPI: 1861984445
Provider Name: SUPATHA KIMBLE PETERS, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
6600 VAN AALST BLVD BLDG 9250
FORT BENNING, GA
ZIP 31905
Phone: (762) 408-2273
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Supatha Kimble Peters, FNP-C is a family nurse practitioner in Fort Benning, GA. Supatha Kimble Peters, FNP-C NPI is 1861984445. 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:

6600 VAN AALST BLVD BLDG 9250
FORT BENNING, GA
ZIP 31905-102
Phone: (762) 408-2273

The enumeration date for this NPI number is 5/31/2018 and was last updated on 8/4/2022.

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	363LF0000X	Nurse Practitioner	Family	0024175296	VIRGINIA	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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